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Organization

BRADFORD OPTICAL, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREW JONES O.D. (MANAGER)
(802) 222-4543
Entity
Organization

Contact information

Practice address
331 UPPER PLN, BRADFORD, VT 05033-9207
(802) 222-4543
(802) 222-4503
Mailing address
PO BOX 325, BRADFORD, VT 05033-0325
(802) 222-4543
(802) 222-4503

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
030-0000267
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023472
VT
Enumeration date
06/25/2014
Last updated
03/04/2019
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