NPIMap

Organization Active NPI

Queen City Eye Care PLC

  • Optometrist
  • Burlington, VT
National Provider Identifier
1215539226
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
QUEEN CITY EYE CARE PLC
Practice address
11 N Willard St
Burlington, VT 05401-3495
Phone
(802) 862-3223
NPI assigned
Nov 13, 2020
Last updated
Nov 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Antonin HollopNPI 1891145512
Title
Optometrist
Phone
(802) 862-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

11 N Willard St
Burlington, VT 05401-3495

Mailing address

11 N Willard St
Burlington, VT 05401-3495
Phone (882) 862-3223

National Provider Directory

National Provider Directory

Locations

11 N Willard St
Ste 1
Burlington, VT 05401
Phone (802) 862-3223

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1215539226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N WILLARD ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013495",
            "telephone_number": "882-862-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N WILLARD ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013495",
            "telephone_number": "802-862-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY EYE CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A",
        "authorized_official_last_name": "HOLLOP",
        "authorized_official_first_name": "ANTONIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "802-862-3223"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.