Provider Demographics
NPI:1184292997
Name:CHAMPLAIN EYE AND VISION PLLC
Entity type:Organization
Organization Name:CHAMPLAIN EYE AND VISION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:802-497-0338
Mailing Address - Street 1:150 DORSET ST STE 250
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6238
Mailing Address - Country:US
Mailing Address - Phone:802-497-0338
Mailing Address - Fax:802-497-2963
Practice Address - Street 1:150 DORSET ST STE 250
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6238
Practice Address - Country:US
Practice Address - Phone:802-497-0338
Practice Address - Fax:802-497-2963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-16
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty