Erica Michelle Guelette, OD
Individual provider Active NPI Optometrist · St Johnsbury, VT
NPI 1144741992 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1144741992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 5216 (MA)
- Practice address
- 468 Hospital Dr
St Johnsbury, VT 05819 - Phone
- (802) 748-3536
- NPI assigned
- Jul 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shippee Family Eye Care PC
Practice addresses (Care Compare)
150 Main St
Lancaster, NH 03584-3033
Phone (603) 788-3561
468 Hospital Dr
Saint Johnsbury, VT 05819-9225
Phone (802) 223-7723
Hospital & facility affiliations
- Central Vermont Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NH, VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171024001693 | NH | Practitioner - Optometry | 2264708908 | Reassigns benefits to 1 organization |
| I20181003000689 | VT | Practitioner - Optometry | 2264708908 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shippee Family Eye Care, P.C. | Optometrist | Current |
Accepting new patients |
| Shippee Family Eye Care PC | Optometrist | Current |
Accepting new patients |
| Shippee Family Eye Care PC | Optometrist | Current |
Accepting new patients |
Locations
150 Main St
Lancaster, NH 03584
Phone (603) 788-3561
15 E State St
Montpelier, VT 05602
Phone (802) 223-7723
468 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 223-7723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5216 | MA | Yes |
Addresses
Primary practice location
468 Hospital Dr
St Johnsbury, VT 05819
Mailing address
114 Main St
Montpelier, VT 05602-3254
Phone (802) 223-7723
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030.0133903 | Other | VT | VT STATE LICENCE |
Other providers in St Johnsbury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.