David P Collette, O.D.
Individual provider Active NPI Optometrist · South Burlington, VT
NPI 1477633006 · NPPES record last updated May 15, 2018
Key facts
- NPI
- 1477633006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 171 (VT)
- Practice address
- 155 Dorset St
Pearle Vision Center University Mall
South Burlington, VT 05403-6346 - Phone
- (802) 658-4113
- Fax
- (802) 862-8945
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1504 | SC | MD | School Psychologist |
| 171 | VT | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 171 | VT | Yes |
Addresses
Primary practice location
155 Dorset St
Pearle Vision Center University Mall
South Burlington, VT 05403-6346
Mailing address
341 Palmetto Glen Dr
Myrtle Beach, SC 29588-6396
Phone (843) 742-1006
Other providers in South Burlington, VT
- Meredith Coeyman
- Clodagh Coghlan
- Colbrook Nutrition Counseling LLC
- Heather Elizabeth Colgan
- Mary Collett
- Kelley Collier
- James P Collins
- Julia Collins
- Michaela Columbia
- Community Health Centers of Burlington Inc
All providers in South Burlington, VT · Optometrist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2018. 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.