| Organization Name: | MANCHESTER EYE CARE PC |
| NPI Number: | 1659591774 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARLEIGH HELEN MCNEALUS (PRESIDENT) |
| Mailing Address: | Village Mall 4363 Rte 7a Manchester Center |
| State: | VT US |
| Postal Code: | 05255 |
| Phone Number: | 8023622020 |
| Fax Number: | 8023622524 |
| NPI Enumeration Date: | 04/30/2007 |
| NPI Last Update Date: | 03/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 0280000269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |