Ethan Allen Optical

LBN: Ethan Allen Optical
Ethan Allen Optical is an health care organization with primary practice located at 1127 North Ave Ste 34 , Burlington VT 05408-2756. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Ethan Allen Optical can be contacted via phone (802) 658-6700, or through Murtha, Christopher Thomas via phone (802) 658-6700.

Contact Information

Primary practice address
1127 North Ave Ste 34 Burlington VT 05408-2756
Phone: (802) 658-6700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Murtha, Christopher Thomas
Phone: (802) 658-6700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0280000210 Vermont

Profile Details

NPI number 1629254990
LBN Legal business name Ethan Allen Optical
DBA Doing business as
Authorized official Murtha, Christopher Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2008
Last updated Jan 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629254990 NPPES
Vermont MEDICAID 0006612

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