Organization
MOULTONS SPECTACLE SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT R MOULTON OPTICIAN (OWNER)
(802) 442-8002
Entity
Organization
Contact information
Practice address
463 MAIN ST, BENNINGTON, VT 05201-2141
(802) 442-8002
(802) 447-2957
Mailing address
463 MAIN STREET, BENNINGTON, VT 05201
(802) 442-8002
(802) 447-2957
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0280000139
VT
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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