| Organization Name: | VERMONT OPTICAL CORP |
| NPI Number: | 1053511147 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY CHANDLER BIRAJICLIAN (PRESIDENT) |
| Mailing Address: | 69 Allen St Suite 15 Rutland |
| State: | VT US |
| Postal Code: | 057014564 |
| Phone Number: | 8027745124 |
| Fax Number: | 8027745129 |
| NPI Enumeration Date: | 07/18/2007 |
| NPI Last Update Date: | 01/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 028-0000350 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |