NPIMap

Organization Active NPI

Montpelier Eye Care, P.C.

  • Optometrist
  • Montpelier, VT
National Provider Identifier
1184864019
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030-0000332 Issued in VT
Legal business name
MONTPELIER EYE CARE, P.C.
Practice address
15 E State St
Montpelier, VT 05602-3086
Phone
(802) 223-7723
NPI assigned
Mar 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Karena Shippee, OD
Title
Owner
Phone
(802) 223-7723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 030-0000332 VT Primary

Addresses

Primary practice location

15 E State St
Montpelier, VT 05602-3086

Mailing address

15 E State St
Montpelier, VT 05602-3086

Other identifiers 1

IdentifierTypeStateIssuer
1016698MedicaidVT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1184864019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E STATE ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E STATE ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023086",
            "telephone_number": "802-223-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTPELIER EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "SHIPPEE",
        "authorized_official_first_name": "KARENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-223-7723",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0000332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016698",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.