Active NPI
Nicholas A Pittman, OD
- Optometrist
- Bradford, VT
National Provider Identifier
1134552755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VT0300097803
- Practice address
- 331 Upper PLN Unit 2
Bradford, VT 05033-9207 - Phone
- (802) 222-4543
- NPI assigned
- Aug 19, 2013
- Last updated
- Jun 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VT0300097803 | VT | Primary |
Addresses
Primary practice location
331 Upper PLN Unit 2
Bradford, VT 05033-9207
Mailing address
PO Box 325
Bradford, VT 05033-0325
Phone (802) 222-4543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376282053 | Other | ORGANIZATION NPI (TYPE II) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
331 Upper PLN
Bradford, VT 05033-9207
Phone (802) 222-4543
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0886 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| VT0300097803 | VT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionary Eye Associates LLC | Optometrist | Current | Accepting new patients |
| Dufour Vision Care PLLC | Optometrist | Past | Accepting new patients |
Locations
331 Upper Pln
Bradford, VT 05033
Phone (802) 222-4543
331 Upper Pln
Unit 2
Bradford, VT 05033
Phone (802) 222-4543
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1134552755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 325",
"city": "BRADFORD",
"state": "VT",
"postal_code": "050330325",
"telephone_number": "802-222-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 UPPER PLN UNIT 2",
"city": "BRADFORD",
"state": "VT",
"postal_code": "050339207",
"telephone_number": "802-222-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTMAN",
"first_name": "NICHOLAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-19",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "VT0300097803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORGANIZATION NPI (TYPE II)",
"identifier": "1376282053",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradford, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.