NPIMap

Organization Active NPI

Nde Group PLLC

Doing business as Apple Valley Vision Center

  • Optometrist
  • Essex Junction, VT
National Provider Identifier
1326363755
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0063969 Issued in VT
Legal business name
NDE GROUP PLLC
Doing business as
Apple Valley Vision Center
Practice address
55 Main St
Suite 1
Essex Junction, VT 05452-6100
Phone
(802) 879-0256
Fax
(802) 879-2401
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Dr. Nathan Lee Stocke, O.D.NPI 1740273853
Title
Optometrist/Owner
Phone
(802) 879-0256

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 030.0063969 VT Primary

Addresses

Primary practice location

55 Main St
Suite 1
Essex Junction, VT 05452-6100

Mailing address

55 Main St
Suite 1
Essex Junction, VT 05452-6100
Phone (802) 879-0256

Other identifiers 1

IdentifierTypeStateIssuer
1017443MedicaidVT

Other names 1

  • Apple Valley Vision Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1326363755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "address_2": "SUITE 1",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054526100",
            "telephone_number": "802-879-0256",
            "fax_number": "802-879-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MAIN ST",
            "address_2": "SUITE 1",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054526100",
            "telephone_number": "802-879-0256",
            "fax_number": "802-879-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "STOCKE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "802-879-0256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0063969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017443",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apple Valley Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.