Organization
JULI A LARSON PC VERMONT EYE ASSOCIATES
Active
Other names
Vermont Eye Laser
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULI LARSON M.D. (MEDICAL DIRECTOR)
(802) 862-1808
Entity
Organization
Contact information
Practice address
1100 HINESBURG RD, SUITE 201, SOUTH BURLINGTON, VT 05403-7613
(802) 862-1808
Mailing address
1100 HINESBURG RD, SUITE 201, SOUTH BURLINGTON, VT 05403-7613
(802) 862-1808
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
0420008600
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010385
—
VT
01
—
DB9414
RAIL ROAD MEDICARE
VT
Enumeration date
05/05/2006
Last updated
07/06/2020
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