Individual provider Active NPI

Ran He, O.D., M.S.

  • Optometrist
  • White River Junction, VT
National Provider Identifier
1003267428
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030-0129293 Issued in VT
Practice address
587 Hartford Ave
White River Junction, VT 05001
Phone
(802) 295-4887
Fax
(802) 295-5896
NPI assigned
Jun 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003147 PA
Student in an Organized Health Care Education/Training Program 390200000X OEG003147 PA
Optometrist 152W00000X 030-0129293 VT Primary

Addresses

Primary practice location

587 Hartford Ave
White River Junction, VT 05001

Mailing address

587 Hartford Ave
White River Junction, VT 05001-8031

Other identifiers 1

IdentifierTypeStateIssuer
1009878MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170803002427 VT Practitioner - Optometry 0143591586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dufour Vision Care PLLCGroup PAC ID 7719498567, 5 clinicians

Practice addresses (Care Compare)

587 Hartford Ave
White River Junction, VT 05001-8031
Phone (802) 295-4887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
030-0129293VTMDOptometrist
OEG003147PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Dufour Vision Care PLLC Optometrist CurrentSince May 12, 2025 Accepting new patients
White River Family Eyecare, PC Optometrist CurrentSince Jul 24, 2017 Accepting new patients

Locations

587 Hartford Ave
White River Junction, VT 05001
Phone (802) 295-4887

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1003267428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 HARTFORD AVE",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050018031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 HARTFORD AVE",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "05001",
            "telephone_number": "802-295-4887",
            "fax_number": "802-295-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HE",
        "first_name": "RAN",
        "credential": "O.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003147",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OEG003147",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0129293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009878",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White River Junction, VT

Sources for this page

Verify at the official NPI Registry.