Individual
DR. GARY B IRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
87 MAIN ST, ESSEX JCT, VT 05452-3234
(802) 878-6830
(802) 878-6315
Mailing address
87 MAIN ST, ESSEX JCT, VT 05452-3234
(802) 878-6830
(802) 878-6315
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0300000141
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030427694
CBA
VT
01
—
58749
BCBS
VT
01
—
59298
VERMONT MANAGED CARE
VT
01
—
59V024
MVP
VT
01
—
6168371
CIGNA
VT
Enumeration date
09/29/2005
Last updated
04/30/2010
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