Organization
WILLISTON VISION REPAIR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL TAUB MD (OWNER/ADMINISTRATOR)
(802) 655-6190
Entity
Organization
Contact information
Practice address
166 SYCAMORE ST, SUITE 150, WILLISTON, VT 05495-8217
(802) 655-6190
Mailing address
166 SYCAMORE ST, SUITE 150, WILLISTON, VT 05495-8217
(802) 655-6190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
VT
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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