Organization
MOULTONS SPECTACLE SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. ROBERT ROY MOULTON OPTICION (OWNER)
(802) 442-8002
Entity
Organization
Contact information
Practice address
463 MAIN ST, BENNINGTON, VT 05201-2141
(802) 442-8002
(802) 447-2957
Mailing address
463 MAIN ST, BENNINGTON, VT 05201-2141
(802) 442-8002
(802) 447-2957
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
05/22/2008
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