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Individual

DR. CARL EDWARD WHITEHOUSE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
50 BANK ST, ST ALBANS, VT 05478-1636
(802) 524-9561
(802) 524-6060
Mailing address
50 BANK ST, ST ALBANS, VT 05478-1636
(802) 524-9561
(802) 524-6060

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
140
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
59V018
MVP HEALTH CARE
VT
01
7932
BLUE CROSS/BLUE SHIELD VT
VT
05
7932
VT
01
P00179926
RAILROAD MEDICARE
VT
Enumeration date
05/24/2005
Last updated
07/08/2007
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