Organization
CENTRAL VERMONT EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAVEEN H. KESHAVA M.D. (PRESIDENT)
(802) 775-0038
Entity
Organization
Contact information
Practice address
69 ALLEN STREET, SUITE 15, RUTLAND, VT 05701
(802) 775-0038
(802) 747-0602
Mailing address
69 ALLEN STREET, SUITE 15, RUTLAND, VT 05701
(802) 775-0038
(802) 747-0602
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042-0011190
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012868
—
VT
Enumeration date
07/14/2006
Last updated
06/17/2009
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