Provider Demographics
NPI:1891224069
Name:PINARD, SEAN FRANCIS (OD)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:FRANCIS
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 STE 1
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:VT
Mailing Address - Zip Code:05855-5561
Mailing Address - Country:US
Mailing Address - Phone:802-334-2772
Mailing Address - Fax:802-334-5667
Practice Address - Street 1:124 E MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:VT
Practice Address - Zip Code:05855-5561
Practice Address - Country:US
Practice Address - Phone:802-334-2772
Practice Address - Fax:802-334-5667
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0129559152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist