OrganizationActive
Ethan Allen Optical
NPI 1629254990 · Durable Medical Equipment & Medical Supplies · Burlington, VT
Provider details
- NPI number
- 1629254990
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Christopher Murtha, Optician(802) 658-6700
- License
- 0280000210 (VT)
Specialties & taxonomies
Suppliers
Practice location
1127 North Ave Ste 34
Burlington, VT 05408-2756
Phone: (802) 658-6700
Approximate (ZIP-level) locationGet directions
Mailing address
1127 North Ave Ste 34
Burlington, VT 05408-2756
Registry dates
- Enumerated
- 2008-01-16
- Last updated
- 2008-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.