Apple Valley Vision Center, PLLC

Organization Active NPI Optometrist · Essex Junction, VT

NPI 1053459552 · NPPES record last updated Jan 31, 2008

Key facts

NPI
1053459552
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
License
030-0000316 (VT)
Legal business name
APPLE VALLEY VISION CENTER, PLLC
Practice address
55 Main St
Suite 1
Essex Junction, VT 05452-3191
Phone
(802) 879-0256
Fax
(802) 879-2401
NPI assigned
Feb 5, 2007
Organization subpart
No

Authorized official

Name
Dr. John W. Ellison, O.D.
Title
Member
Phone
(802) 879-0256

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
152W00000X 030-0000316 VT Yes

Addresses

Primary practice location

55 Main St
Suite 1
Essex Junction, VT 05452-3191

Mailing address

55 Main St
Suite 1
Essex Junction, VT 05452-3191
Phone (802) 879-0256

Other providers in Essex Junction, VT

All providers in Essex Junction, VT · Optometrist in Vermont

Sources for this page

Verify at the official NPI Registry.