Bratt Eye PLLC
Organization Active NPI Optometrist · Brattleboro, VT
NPI 1174308241 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1174308241
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- BRATT EYE PLLC
- Practice address
- 328 Western Ave
Brattleboro, VT 05301-6948 - Phone
- (802) 254-9012
- Fax
- (802) 251-1076
- NPI assigned
- Aug 28, 2023
- Organization subpart
- No
Authorized official
- Name
- Lesley Cotter, CPA
- Title
- Manager
- Phone
- (802) 254-9012
Practitioners 5
-
Robert John Cotter, O.D.
-
Laura V Fidler, OD
-
John C Duff, O.D.
-
Nathan L Stocke, OD
-
David N Zucker, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240110001742 | VT | Part B Supplier - Clinic/Group Practice | 7618328089 |
Receives reassigned benefits from 2 practitioners Practice locations: Brattleboro, VT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
328 Western Ave
Brattleboro, VT 05301-6948
Mailing address
328 Western Ave
Brattleboro, VT 05301-6948
Phone (802) 254-9012
Other names
- Brattleboro Family Eye Care
Other providers in Brattleboro, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.