Moultons Spectacle Shoppe
NPI #1679596753 in Bennington, Vermont
Provider Information
- NPI Number
- 1679596753
- Entity Type
- Organization
- Organization Name
- Moultons Spectacle Shoppe
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Jul 26, 2006
- Last Updated
- May 22, 2008
Practice Location
- Address
- 463 MAIN ST
- City
- Bennington
- State
- Vermont
- ZIP Code
- 05201-2141
- Phone
- (802) 442-8002
Authorized Official
- Name
- PROF. ROBERT ROY MOULTON, OPTICION
- Title
- OWNER
- Phone
- (802) 442-8002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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