Organization
MILTON FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY A BOURDEAU (OWNER)
(802) 871-5718
Entity
Organization
Contact information
Practice address
16 RAILROAD ST, ESSEX JUNCTION, VT 05452-3779
(802) 871-5718
(802) 871-5950
Mailing address
16 RAILROAD ST, ESSEX JUNCTION, VT 05452-3779
(802) 871-5718
(802) 871-5950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030427694
CBA
VT
01
—
58749
BCBS
VT
01
—
59298
VERMONT MANAGED CARE
VT
01
—
59V024
MVP
—
01
—
6168371
CIGNA
VT
Enumeration date
10/18/2010
Last updated
04/12/2019
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