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Individual

DR. MARIKA PARENTEAU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
5452 US ROUTE 5, STE H, NEWPORT, VT 05855-9870
(802) 334-1515
(802) 334-2935
Mailing address
5452 US ROUTE 5, STE H, NEWPORT, VT 05855-9870
(802) 334-1515
(802) 334-2935

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0300000278
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29394
BLUE CROSS
VT
01
4288070001
DMERC
VT
01
P00077082
RAILROAD MEDICARE
VT
Enumeration date
09/15/2005
Last updated
11/29/2023
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