NPIMap

Organization Active NPI

Afterimage Inc.

  • Optometrist
  • Springfield, VT
National Provider Identifier
1124643523
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AFTERIMAGE INC.
Practice address
2 Summer St
Springfield, VT 05156-3501
Phone
(802) 885-4190
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Dr. Mercedes Delgaudio Smith, ODNPI 1861017253
Title
President
Phone
(802) 451-0223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2 Summer St
Springfield, VT 05156-3501

Mailing address

2 Summer St
Springfield, VT 05156-3501
Phone (802) 885-4190

Other names 1

  • Springfield Family Eyecare Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014001554 VT Part B Supplier - Clinic/Group Practice 9234559105 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, VT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1124643523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SUMMER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051563501",
            "telephone_number": "802-885-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SUMMER ST",
            "city": "SPRINGFIELD",
            "state": "VT",
            "postal_code": "051563501",
            "telephone_number": "802-885-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFTERIMAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "DELGAUDIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-451-0223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Family Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.