Provider Demographics
NPI:1013441666
Name:VOLPE, CRAIG (OD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:
Last Name:VOLPE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:CRAIG
Other - Middle Name:THOMAS
Other - Last Name:VOLPE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:5399 WILLISTON RD STE 102
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-5321
Mailing Address - Country:US
Mailing Address - Phone:802-864-5428
Mailing Address - Fax:
Practice Address - Street 1:5399 WILLISTON RD STE 102
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-5321
Practice Address - Country:US
Practice Address - Phone:802-864-5428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-19
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT030.0121630152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist