Individual
RANDY LEE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
30 MAIN ST, SUITE 120, BURLINGTON, VT 05401-8438
(802) 658-7610
(802) 864-0893
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030.0077067
VT
Other
Enumeration date
07/03/2008
Last updated
03/23/2021
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