Organization
SPECIALEYES PROFESSIONAL EYE CARE SERVICES, PLLC
Active
Other names
Peak View Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BALDWIN AUSTIN O.D. (PRESIDENT/MEMBER)
(802) 877-2422
Entity
Organization
Contact information
Practice address
27 MAIN ST, VERGENNES, VT 05491-1113
(802) 877-2422
(802) 877-1124
Mailing address
27 MAIN ST, VERGENNES, VT 05491-1113
(802) 877-2422
(802) 877-1124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000292
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000013132
MEDICARE PTAN
VT
01
—
1790917102
BC BS OF VERMONT
VT
01
—
200072249
MVP
VT
Enumeration date
08/18/2009
Last updated
05/01/2013
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