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Individual

DR. THOMAS F TERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
128 N MAIN ST, WHITE RIVER JUNCTION, VT 05001-7056
(802) 295-3300
(802) 295-6581
Mailing address
128 N MAIN ST, WHITE RIVER JUNCTION, VT 05001-7056
(802) 295-3300
(802) 295-6581

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000167
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
030264105
BANKER'S LIFE
01
0908741YOVT01
ANTHEM
NH
01
953283
MVP
05
TEVT7953
VT
01
VT0167
EYE MED
Enumeration date
09/23/2005
Last updated
12/16/2011
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