Organization Active NPI

Optical Expressions, Inc.

  • Optometrist
  • St Johnsbury, VT
National Provider Identifier
1053492850
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTICAL EXPRESSIONS, INC.
Practice address
2000 Memorial Dr
Suite 6
St Johnsbury, VT 05819-8321
Phone
(802) 748-3536
Fax
(802) 748-4838
NPI assigned
Oct 18, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Sandy Butkovich
Title
Office Manager
Phone
(802) 748-3536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2000 Memorial Dr
Suite 6
St Johnsbury, VT 05819-8321

Mailing address

2000 Memorial Dr
Suite 6
St Johnsbury, VT 05819-8321
Phone (802) 748-3536

National Provider Directory

National Provider Directory

Locations

282 Berlin Mall Rd
#U70
Berlin, VT 05602

282 Berlin Mall Rd
Ste 12
Berlin, VT 05602

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1053492850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEMORIAL DR",
            "address_2": "SUITE 6",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198321",
            "telephone_number": "802-748-3536",
            "fax_number": "802-748-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MEMORIAL DR",
            "address_2": "SUITE 6",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058198321",
            "telephone_number": "802-748-3536",
            "fax_number": "802-748-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL EXPRESSIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "BUTKOVICH",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "802-748-3536"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.