Organization
VIRTUAL OPTICS INC
Active
Other names
Middlebury Optics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMJAD MAHMOUD HAYYAT OPTICIAN (OWNER/ OPTICIAN)
(802) 388-2165
Entity
Organization
Contact information
Practice address
1 WASHINGTON ST, MIDDLEBURY, VT 05753-1215
(802) 388-2165
Mailing address
1 WASHINGTON ST, MIDDLEBURY, VT 05753-1215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00000258
VT
156FX1800X
Optician
028-0000295
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011578
—
VT
Enumeration date
10/26/2006
Last updated
06/25/2008
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