Eyecare for You, PC
Organization Active NPI Eyewear Supplier · Bethel, VT
NPI 1144613852 · NPPES record last updated Mar 5, 2015
Key facts
- NPI
- 1144613852
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 030.0000196 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Jerry A Barcelow, OD
- Title
- President
- Phone
- (802) 234-9728
Practitioners 6
-
Dean A Barcelow, O.D.
-
Rebecca E Barcelow, O.D.
-
Luben Metodiev Ikonomov, O.D.
-
Stivia Demiri, OD
National Provider Directory
Locations
1593 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-9728
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 030.0000196 | VT | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006624 | Medicaid | VT | |
| 1022362 | Medicaid | VT | |
| 1016712 | Medicaid | VT |
Other providers in Bethel, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.