Leif Erickson, OD, LLC
Organization Active NPI Optometrist · Rutland, VT
NPI 1477587939 · NPPES record last updated Mar 25, 2009
Key facts
- NPI
- 1477587939
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 0300000275 (VT)
- Legal business name
- LEIF ERICKSON, OD, LLC
- Practice address
- 44 Washington St
Rutland, VT 05701-5031 - Phone
- (802) 775-0862
- Fax
- (802) 747-7714
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Leif Erickson, O.D.
- Title
- Optometrist
- Phone
- (802) 775-0862
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 0300000275 | VT | Yes |
Addresses
Primary practice location
44 Washington St
Rutland, VT 05701-5031
Mailing address
44 Washington St
Rutland, VT 05701-5031
Phone (802) 775-0862
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.