NPIMap

Organization Active NPI

Northeast Vision Center, PC

  • Clinic/Center
  • Newport, VT
National Provider Identifier
1316933583
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0300000278 Issued in VT
Legal business name
NORTHEAST VISION CENTER, PC
Practice address
5452 US Route 5
Ste H
Newport, VT 05855-9870
Phone
(802) 334-1515
Fax
(802) 334-2935
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Dr. Marika Parenteau, ODNPI 1952396988
Title
Owner/Doctor
Phone
(802) 334-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0300000278 VT Primary

Addresses

Primary practice location

5452 US Route 5
Ste H
Newport, VT 05855-9870

Mailing address

5452 US Route 5
Ste H
Newport, VT 05855-9870
Phone (802) 334-1515

Other identifiers 2

IdentifierTypeStateIssuer
DA8993OtherVTRR MCR GROUP
68799OtherVTBC GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091207000411 VT Part B Supplier - Clinic/Group Practice 0749329647 Receives reassigned benefits from 3 practitioners
Practice locations: Newport, VT

National Provider Directory

National Provider Directory

Locations

5452 US Route 5
Ste H
Newport, VT 05855
Phone (802) 334-1515

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1316933583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5452 US ROUTE 5",
            "address_2": "STE H",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559870",
            "telephone_number": "802-334-1515",
            "fax_number": "802-334-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5452 US ROUTE 5",
            "address_2": "STE H",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058559870",
            "telephone_number": "802-334-1515",
            "fax_number": "802-334-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "PARENTEAU",
        "authorized_official_first_name": "MARIKA",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "802-334-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VT",
            "license": "0300000278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR GROUP",
            "identifier": "DA8993",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GROUP NUMBER",
            "identifier": "68799",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.