Organization Active NPI

Soares Ocular Surgery

  • Ophthalmologic Surgery Clinic/Center
  • Randolph, VT
National Provider Identifier
1154451300
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
042-0008693 Issued in VT
Legal business name
SOARES OCULAR SURGERY
Practice address
124 Meadow LN
Randolph, VT 05060-8952
Phone
(802) 728-2460
Fax
(802) 728-2457
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Dr. Chris J. Soares, M.D.
Title
President
Phone
(802) 728-2460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 042-0008693 VT Primary

Addresses

Primary practice location

124 Meadow LN
Randolph, VT 05060-8952

Mailing address

124 Meadow LN
Randolph, VT 05060-8952
Phone (802) 728-2460

National Provider Directory

National Provider Directory

Locations

124 Meadow Ln
Randolph, VT 05060
Phone (802) 728-2460

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1154451300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MEADOW LN",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050608952",
            "telephone_number": "802-728-2460",
            "fax_number": "802-728-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MEADOW LN",
            "city": "RANDOLPH",
            "state": "VT",
            "postal_code": "050608952",
            "telephone_number": "802-728-2460",
            "fax_number": "802-728-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARES OCULAR SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "SOARES",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-728-2460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "VT",
            "license": "042-0008693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.