Provider Demographics
NPI:1346497062
Name:HARTNETT, GARUNA (OD)
Entity Type:Individual
Prefix:DR
First Name:GARUNA
Middle Name:
Last Name:HARTNETT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 BERLIN MALL RD STE 4
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:VT
Mailing Address - Zip Code:05602-8493
Mailing Address - Country:US
Mailing Address - Phone:802-223-2090
Mailing Address - Fax:802-223-5336
Practice Address - Street 1:282 BERLIN MALL RD STE 4
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-8493
Practice Address - Country:US
Practice Address - Phone:802-223-2090
Practice Address - Fax:802-223-5336
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT030.0084578152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist