Individual
NATHAN L STOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
55 MAIN ST, SUITE 1, ESSEX JUNCTION, VT 05452-6100
(802) 879-0256
(802) 879-2401
Mailing address
55 MAIN ST, SUITE 1, ESSEX JUNCTION, VT 05452-6100
(802) 879-0256
(802) 879-2401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030.0063969
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030.0063969
VERMONT LICENSE NUMBER
VT
05
—
1326363755
—
VT
Enumeration date
08/24/2005
Last updated
03/07/2023
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