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ETHAN ALLEN OPTICAL NPI 1629254990


NPI Information

NPI: 1629254990
Provider Name: ETHAN ALLEN OPTICAL
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1127 NORTH AVE STE 34
BURLINGTON, VT
ZIP 05408
Phone: (802) 658-6700
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ETHAN ALLEN OPTICAL is a durable medical equipment medical supplies in Burlington, VT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ETHAN ALLEN OPTICAL NPI is 1629254990. The provider is registered as an organization entity type.

The provider's business location address is:

1127 NORTH AVE STE 34
BURLINGTON, VT
ZIP 05408-756
Phone: (802) 658-6700

The provider's authorized official is Christopher Thomas Murtha .
The authorized official title is Optician and has the following contact phone number (802) 658-6700.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 1/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies0280000210VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10289780001MEDICARE NSCVERMONT
20006612MEDICAIDVERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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