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Individual

DR. ROBERT B AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
27 MAIN ST, VERGENNES, VT 05491-1113
(802) 877-2422
(802) 877-1124
Mailing address
P.O. BOX 174, 27 MAIN ST, VERGENNES, VT 05491-0174
(802) 877-2422
(802) 877-1124

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0300000292
VT
152W00000X
Optometrist
56-005641
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000499771002
BLUE SHIELD OF NE NY
NY
01
00059239
BLUECROSS BLUESHIELD OF VERMONT
VT
05
01610168
NY
05
1013521
VT
01
3002410
MVP
VT
01
367
DAVIS VISION
NY
01
42951
DAVIS VISION
NY
01
781269
MVP
NY
01
9475823
CIGNA
VT
01
P00078950
RAILROAD MEDICARE
NY
01
RA1824
UPSTATE NEW YORK MEDICARE
NY
Enumeration date
08/01/2005
Last updated
08/22/2011
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