Eye Care Associates, PC
Organization Active NPI Ophthalmology Physician · Middlebury, VT
NPI 1265545404 · NPPES record last updated Feb 10, 2015
Key facts
- NPI
- 1265545404
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- EYE CARE ASSOCIATES, PC
- Practice address
- 1330 Exchange Street
Suite 102
Middlebury, VT 05753 - Phone
- (802) 388-6565
- Fax
- (802) 388-3291
- NPI assigned
- Aug 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Amy Gregory, MD
- Title
- President
- Phone
- (802) 388-6565
Practitioners 8
-
Amy Andrews Gregory, M.D.
-
Jillian Kaplita, MD
-
John D Bell, OD
-
Robert K Baker, M.D.
-
David Joseph Benes, O.D.
-
Amjad M Hammad, MD
-
Heather M. Jetton, O.D.
-
Manoj M. Thakker, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040701000821 | VT | Part B Supplier - Clinic/Group Practice | 5496732083 |
Receives reassigned benefits from 2 practitioners Practice locations: Middlebury, VT |
National Provider Directory
Locations
1330 Exchange St
Ste 102
Middlebury, VT 05753
Phone (802) 388-6565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
1330 Exchange Street
Suite 102
Middlebury, VT 05753
Mailing address
1330 Exchange Street
Suite 102
Middlebury, VT 05753
Phone (802) 388-6565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009267 | Medicaid | VT |
Other providers in Middlebury, VT
- Elderly Services, Inc.
- Elizabeth Singe Elliott
- Judith L English
- Roberta Enright
- Clare L. Evancie
- Mikayla Farnsworth
- Margaret Rand Farrell
- Adam Fasoli
- Gail B Fayre
- Julia Ferrone
All providers in Middlebury, VT · Ophthalmology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2015. 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.