Visionary Eye Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISIONARY EYE ASSOCIATES LLC

Doing business as

Bradford Optical

Practice address

331 Upper PLN
Bradford, VT 05033-9207

Phone

(802) 222-4543

NPI assigned

Jun 1, 2022

Last updated

Jun 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Austen Pittman, ODNPI 1134552755

Title

Owner

Phone

(802) 922-0838

Specialties & licenses 1

Addresses

Other names 1

• Bradford Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

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.

• Nicholas A Pittman, OD

  • Optometrist
  • Bradford, VT
  • NPI 1134552755
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1376282053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050330325",
            "telephone_number": "802-222-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 UPPER PLN",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050339207",
            "telephone_number": "802-222-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "AUSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-922-0838",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradford Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Bradford, VT
• Providers in Bradford, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.