Healthcare Provider Details
I. General information
NPI: 1124956909
Provider Name (Legal Business Name): KATHERINE LORRAINE DUFF OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
163 VETERANS DR
WHITE RIVER JUNCTION VT
05001-7005
US
IV. Provider business mailing address
7868 POMFRET RD
NORTH POMFRET VT
05053-9701
US
V. Phone/Fax
- Phone: 802-295-9363
- Fax:
- Phone: 970-227-8013
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | 030.0134049 |
| License Number State | VT |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: