Organization
VERMONT EYE SURGERY & LASER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDA CIOSEK (CONTACT PERSON)
(802) 862-1808
Entity
Organization
Contact information
Practice address
1100 HINESBURG RD, SUITE 101, SOUTH BURLINGTON, VT 05403-7613
(802) 862-1808
(802) 862-6664
Mailing address
1100 HINESBURG RD, SUITE 101, SOUTH BURLINGTON, VT 05403-7613
(802) 862-1808
(802) 862-6664
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015944
—
VT
01
—
P00717828
RAILROAD MEDICARE
VT
Enumeration date
02/28/2008
Last updated
02/04/2010
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