NPIMap

Organization Active NPI

Eyecare for You, PC

  • Eyewear Supplier
  • Bethel, VT
National Provider Identifier
1144613852
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
030.0000196 Issued in VT
Legal business name
EYECARE FOR YOU, PC
Practice address
1593 VT Rte 107
Bethel, VT 05032-4456
Phone
(802) 234-9728
Fax
(802) 234-9732
NPI assigned
Mar 5, 2015
Last updated
Mar 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Dr. Jerry A Barcelow, ODNPI 1750393211
Title
President
Phone
(802) 234-9728

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
Eyewear Supplier 332H00000X 030.0000196 VT Primary

Addresses

Primary practice location

1593 VT Rte 107
Bethel, VT 05032-4456

Mailing address

1593 VT Rte 107
Bethel, VT 05032-4456
Phone (802) 234-9728

Other identifiers 3

IdentifierTypeStateIssuer
0006624MedicaidVT
1022362MedicaidVT
1016712MedicaidVT

National Provider Directory

National Provider Directory

Locations

1593 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-9728

Practitioners & affiliated clinicians

Practitioners 6

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": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1144613852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 VT RTE 107",
            "city": "BETHEL",
            "state": "VT",
            "postal_code": "050324456",
            "telephone_number": "802-234-9728",
            "fax_number": "802-234-9732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 VT RTE 107",
            "city": "BETHEL",
            "state": "VT",
            "postal_code": "050324456",
            "telephone_number": "802-234-9728",
            "fax_number": "802-234-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE FOR YOU, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "BARCELOW",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-234-9728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VT",
            "license": "030.0000196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006624",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022362",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016712",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.