Provider Demographics
NPI:1194826289
Name:PINARD, FRANCIS L (OD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:L
Last Name:PINARD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 E MAIN ST
Mailing Address - Street 2:STE #1
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-5229
Mailing Address - Country:US
Mailing Address - Phone:802-334-2772
Mailing Address - Fax:802-334-5667
Practice Address - Street 1:124 E MAIN ST
Practice Address - Street 2:STE #1
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-5229
Practice Address - Country:US
Practice Address - Phone:802-334-2772
Practice Address - Fax:802-334-5667
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT30-0000-237152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0002591Medicaid
VT4912870001Medicare NSC
VTVT9139Medicare PIN
VT0002591Medicaid