Provider Demographics
NPI:1053589374
Name:FRANCIS L PINARD OD PC
Entity type:Organization
Organization Name:FRANCIS L PINARD OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:PINARD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:802-334-2772
Mailing Address - Street 1:124 EAST MAIN STREET
Mailing Address - Street 2:SUITE #1
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855
Mailing Address - Country:US
Mailing Address - Phone:802-334-2772
Mailing Address - Fax:802-334-5667
Practice Address - Street 1:124 EAST MAIN STREET
Practice Address - Street 2:SUITE #1
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855
Practice Address - Country:US
Practice Address - Phone:802-334-2772
Practice Address - Fax:802-334-5667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT300000237152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT4912870001Medicare NSC