Organization Active NPI

Vermont Center for Vision Development PLLC

  • Optometrist
  • Saint Albans, VT
National Provider Identifier
1376270637
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VERMONT CENTER FOR VISION DEVELOPMENT PLLC
Practice address
128 Fisher Pond Rd
Saint Albans, VT 05478-6058
Phone
(802) 404-7154
NPI assigned
Aug 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2025

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

Authorized official

Name
Dr. Laura Lynn Werner-Maille, OD
Title
Optometrist/Owner
Phone
(802) 864-5428

Specialties & licenses 1

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

Addresses

Primary practice location

128 Fisher Pond Rd
Saint Albans, VT 05478-6058

Mailing address

128 Fisher Pond Rd
Saint Albans, VT 05478-6058
Phone (802) 404-7154

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drwerner@vtvisiondevelopment.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250107000138 VT Part B Supplier - Clinic/Group Practice 3678001526 Receives reassigned benefits from 1 practitioner
Practice locations: Colchester, VT

National Provider Directory

National Provider Directory

Locations

85 Prim Rd
Ste 302
Colchester, VT 05446
Phone (802) 404-7154

Practitioners & affiliated clinicians

Practitioners 1

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": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735689600000",
    "number": "1376270637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786058",
            "telephone_number": "802-404-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 FISHER POND RD",
            "city": "SAINT ALBANS",
            "state": "VT",
            "postal_code": "054786058",
            "telephone_number": "802-404-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERMONT CENTER FOR VISION DEVELOPMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A",
        "authorized_official_last_name": "WERNER-MAILLE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "802-864-5428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drwerner@vtvisiondevelopment.net",
            "affiliation": "N",
            "address_1": "128 Fisher Pond Rd",
            "city": "Saint Albans",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054786058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Albans, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2025; 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.