Organization
CRYSTAL VISION BY DRS. OF OPTOMERTRY
Active
Other names
Stowe Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOROTHY BRODMANN OD (PRESIDENT)
(802) 253-7201
Entity
Organization
Contact information
Practice address
1878 MOUNTAIN RD STE 2, STOWE, VT 05672-4775
(802) 253-7201
(802) 253-7522
Mailing address
1878 MOUNTAIN RD STE 2, STOWE, VT 05672-4775
(802) 253-7201
(802) 253-7522
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
030-0000300
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012379
—
VT
01
—
1922077916
NPI
VT
Enumeration date
04/04/2007
Last updated
04/21/2011
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