Provider Demographics
NPI:1902033665
Name:RICHARD E. DEL BIANCO, O.D., P.C.
Entity Type:Organization
Organization Name:RICHARD E. DEL BIANCO, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:E
Authorized Official - Last Name:DEL BIANCO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:802-773-0634
Mailing Address - Street 1:69 ALLEN ST STE 12
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4564
Mailing Address - Country:US
Mailing Address - Phone:802-773-0634
Mailing Address - Fax:802-773-0634
Practice Address - Street 1:69 ALLEN ST STE 12
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4564
Practice Address - Country:US
Practice Address - Phone:802-773-0634
Practice Address - Fax:802-773-0634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-19
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
0257630001Medicare NSC