Individual
DR. HEATHER ANNE BOURDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
587 HARTFORD AVE, WHITE RIVER JUNCTION, VT 05001-8031
(802) 295-4887
Mailing address
587 HARTFORD AVE, WHITE RIVER JUNCTION, VT 05001-8031
(802) 295-4887
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4373-TP
MA
152WL0500X
Low Vision Rehabilitation Optometrist
030.0133973
VT
152WL0500X
Low Vision Rehabilitation Optometrist
4373-TP
MA
152WP0200X
Pediatric Optometrist
4373-TP
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0323501
—
MA
01
—
7940836
AETNA
MA
01
—
AA85035
HARVARD PILGRIM
MA
01
—
W16497
BC/BS
MA
Enumeration date
12/29/2006
Last updated
01/30/2024
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