Individual
DR. HAYES IRVIN SOGOLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5138 SHELBURNE RD, SUITE 22A, SHELBURNE, VT 05482-6698
(802) 985-2210
(802) 985-8553
Mailing address
5138 SHELBURNE RD, P O BOX 428, SHELBURNE, VT 05482-6698
(802) 985-2210
(802) 985-8553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000149
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000-7936
—
VT
01
—
6496810001
DME REGION A MEDICARE
—
Enumeration date
04/07/2006
Last updated
04/27/2011
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