NPI 1356393979 · live from the CMS NPI Registry
Christopher John Soares, M.D.
Ophthalmology in Randolph, VT. National Provider Identifier 1356393979, active.
NPI record
| NPI | 1356393979 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 124 Meadow Ln, Randolph, VT 05060 |
| Practice phone | 802-728-2460 |
| Enumerated | May 16, 2006 |
| Last updated | July 30, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 0420008693 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.