Individual
HEIDI H WELNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5222 MAIN ST, MANCHESTER CENTER, VT 05255-9700
(802) 366-8050
(802) 366-8045
Mailing address
322 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 447-8700
(802) 447-1500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030.0133931
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030.0133931
VT LICENSE
VT
Enumeration date
07/21/2020
Last updated
10/22/2020
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