Organization
MANCHESTER EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLEIGH HELEN MCNEALUS OPTICIAN (PRESIDENT)
(802) 362-2020
Entity
Organization
Contact information
Practice address
VILLAGE MALL 4363 RTE 7A, MANCHESTER CENTER, VT 05255
(802) 362-2020
(802) 362-2524
Mailing address
PO BOX 567, MANCHESTER CENTER, VT 05255
(802) 362-2020
(802) 362-2524
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0280000269
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63015
MVP
VT
01
—
MANC19514
BC AND BS
VT
Enumeration date
04/30/2007
Last updated
03/11/2008
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