Active NPI
Soares Ocular Surgery
- Ophthalmologic Surgery Clinic/Center
- Randolph, VT
National Provider Identifier
1154451300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- 042-0008693
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.