Individual
PAUL M LINDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1290 HOSPITAL DR, SUITE 5, ST JOHNSBURY, VT 05819-9239
(802) 748-8126
(802) 748-2208
Mailing address
773 SLATE LEDGE RD, LITTLETON, NH 03561-3432
(603) 444-5989
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0300000266
VT
152W00000X
Optometrist
0622
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1122
—
VT
05
—
30008906
—
NH
01
—
RE5917
MEDICARE PTAN
NH
01
—
VN1122
MEDICARE PTAN
VT
Enumeration date
09/21/2005
Last updated
07/03/2013
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