Eyecare of Vermont, PLC
Organization Active NPI Optometrist · Essex Junction, VT
NPI 1194278978 · NPPES record last updated Jul 28, 2016
Key facts
- NPI
- 1194278978
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- EYECARE OF VERMONT, PLC
- Practice address
- 77 Pearl St
Suite B
Essex Junction, VT 05452-3625 - Phone
- (802) 878-5509
- Fax
- (802) 878-0783
- NPI assigned
- Jul 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Penny Brooks
- Title
- Billing Specialist
- Phone
- (802) 878-5509
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Practitioners 5
-
Rebecca Marie Busier, O.D.
-
Jon D Eriksson, OD
-
Kayla Kinsley, OD
-
Jeanne A Phillip, OD
-
Taye Patterson, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Eyecare of Vermont PLC |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930080263 | VT | DME Supplier - Physician - Optometrist |
1850316399 |
1 other NPI on this enrollment Practice locations: Essex Junction, VT |
National Provider Directory
Locations
77B Pearl St
Ste B
Essex Junction, VT 05452
Phone (802) 878-5509
77 Pearl St
#B
Essex Junction, VT 05452
Phone (503) 558-4686
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | VT | Yes |
Addresses
Primary practice location
77 Pearl St
Suite B
Essex Junction, VT 05452-3625
Mailing address
77 Pearl St
Suite B
Essex Junction, VT 05452-3625
Phone (802) 878-5509
Other providers in Essex Junction, VT
- Hannah Engelken
- Essex Family Dental
- Essex Rescue Inc
- Essex Westford Educational Community Unified Union School District
- Leanne Estridge
- Cassandra Lynn Falone
- Robin Lauzon Farrell
- J Allen Feeley
- Nathalie Feldman
- Roscoe Ferris
All providers in Essex Junction, VT · Optometrist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2016. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.