P Brian Machanic, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0420008124 Issued in VT

Practice address

156 N Main St
Saint Albans, VT 05478-1561

Phone

(802) 527-7787

Fax

(802) 527-0797

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Ophthalmic Consultants of Vermont PC

  • Ophthalmologic Surgery Clinic/Center
  • South Burlington, VT
  • NPI 1255416053
  NPD (past)
• Thomas P Dowhan MD PC

  • Ophthalmology Physician
  • St Albans, VT
  • NPI 1134189525
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1285672501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 MT PHILO RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054459345",
            "telephone_number": "802-310-5634",
            "fax_number": "802-527-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N MAIN ST",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054781561",
            "telephone_number": "802-527-7787",
            "fax_number": "802-527-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHANIC",
        "first_name": "P",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VT",
            "license": "0420008124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00147092",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1076",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Lynch, MA,LCMHC
• Matthew Lyon
• Danielle Marie Lyster, PA-C
• Katharine Tierney Mable, MA
• Kathleen Sue Maccallum, PT
• Heidi Magill, PHYSICAL THERAPIST
• Meaghan Malboeuf, LICSW
• Margaret Maley, LCMHC
• Pierre Malki, PHARM.D
• Melinda Sue Malone, RPH

• Ophthalmology Physician in Saint Albans, VT
• Providers in Saint Albans, VT by specialty
• Ophthalmology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.