Individual provider Active NPI

Erik William Niemi, D.O.

  • Ophthalmology Physician
  • Bennington, VT
National Provider Identifier
1194772491
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
042-0007142 Issued in VT
Practice address
322 Dewey St
Bennington, VT 05201-2225
Phone
(802) 447-8700
Fax
(802) 447-1500
NPI assigned
May 30, 2006
Last updated
Mar 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 219513 MA
Ophthalmology Physician 207W00000X 042-0007142 VT Primary

Addresses

Primary practice location

322 Dewey St
Bennington, VT 05201-2225

Mailing address

322 Dewey St
Bennington, VT 05201-2225
Phone (802) 447-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100903000694 VT Practitioner - Ophthalmology 5799874376 Reassigns benefits to 1 organization
I20111205000878 MA Practitioner - Ophthalmology 5799874376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eyecare PCGroup PAC ID 1052301546, 11 clinicians

Practice addresses (Care Compare)

322 Dewey St
Bennington, VT 05201-2225
Phone (802) 447-8700

77 Hospital Ave
North Adams, MA 01247-2550
Phone (413) 664-6736

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.13 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
80.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery340
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eyecare PC Ophthalmology CurrentSince Sep 15, 2003 Accepting new patients

Locations

77 Hospital Ave
North Adams, MA 01247
Phone (413) 346-4242

322 Dewey St
Bennington, VT 05201
Phone (802) 447-8700

5222 Main St
Manchestr Ctr, VT 05255
Phone (802) 366-8050

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1194772491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 DEWEY ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012225",
            "telephone_number": "802-447-8700",
            "fax_number": "802-447-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 DEWEY ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012225",
            "telephone_number": "802-447-8700",
            "fax_number": "802-447-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMI",
        "first_name": "ERIK",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "219513",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "042-0007142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

Verify at the official NPI Registry.