Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 30-0000-237 | VT |
NPI | 1194826289 |
---|---|
Provider Name | Francis L Pinard |
First Address | Newport, VT 05855-5229 |
Second Address | Newport, VT 05855-5229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 15/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0002591 | (05) | VT |
T25467 | (02) | VT |