Miranda, Charles Alan

Miranda, Charles Alan is an sole proprietor health care provider with primary practice located at 927 Ethan Allen Highway Suite 4, Georgia VT 05468-9746. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Miranda, Charles Alan can be contacted via phone (802) 527-1126.

Contact Information

Primary practice address
927 Ethan Allen Highway Suite 4 Georgia VT 05468-9746
Phone: (802) 527-1126
Fax: (802) 524-7010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X VT 187 Vermont

Profile Details

NPI number 1427160753
LBN Legal business name Miranda, Charles Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jun 29th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427160753 NPPES
Vermont MEDICAID 0006609

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