Rutland Eye Physicians, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

042-0011634 Issued in VT

Legal business name

RUTLAND EYE PHYSICIANS, LLC

Practice address

73 Center St
Rutland, VT 05701-4046

Phone

(802) 773-2020

NPI assigned

Jan 20, 2009

Last updated

Jan 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vered Sobel, M.DNPI 1962450742

Title

Owner

Phone

(802) 773-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 1

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.

• Vered Sobel, MD

  • Ophthalmology Physician
  • Rutland, VT
  • NPI 1962450742
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1164669776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 CENTER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014046",
            "telephone_number": "802-773-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CENTER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014046",
            "telephone_number": "802-773-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLAND EYE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "SOBEL",
        "authorized_official_first_name": "VERED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-773-2020",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "042-0011634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015424",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1962450742",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rutland Community Programs, Inc
• Rutland Community Programs, Inc
• Rutland County Parent Child Center
• Rutland Crossings LLC
• Rutland Dental Care, PLC
• Rutland Family Care, LLC
• Rutland Family Dental, PLC (The Center For Dental Health)
• Rutland Health and Rehab Center
• Rutland Hospital, Inc (RRMC Pharmacy)
• Rutland Hospital, Inc

• Ophthalmology Physician in Rutland, VT
• Providers in Rutland, VT by specialty
• Ophthalmology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.