Nicholas Paul Marconi, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

030-0000260 Issued in VT

Practice address

166 Sycamore St
Suite 150
Williston, VT 05495-8217

Phone

(802) 872-7447

Fax

(802) 872-7448

NPI assigned

Feb 25, 2007

Last updated

Nov 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horlick Eye CareGroup PAC ID 7719425669, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Horlick Eye Care

  dba Maple Eye Care

  • Optometrist
  • Williston, VT
  • NPI 1750139671
  Medicare reassignment Care Compare group NPD
• Louis J Cassani

  dba Barre Optical

  • Optician
  • Barre, VT
  • NPI 1225188063
  NPD
• Michael Taub OD PC

  dba Fammily Vision Center

  • Optometrist
  • Colchester, VT
  • NPI 1710059084
  NPD (past)
• Visions, Inc

  • Optometrist
  • Burlington, VT
  • NPI 1215369285
  NPD (past)
• Williston Vision Repair PC

  • Optometrist
  • Williston, VT
  • NPI 1538399159
  NPD (past)

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

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1417083577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SYCAMORE ST",
            "address_2": "SUITE 150",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958217",
            "telephone_number": "802-872-7447",
            "fax_number": "802-872-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SYCAMORE ST",
            "address_2": "SUITE 150",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958217",
            "telephone_number": "802-872-7447",
            "fax_number": "802-872-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCONI",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-25",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0000260",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VT",
            "license": "030-0000260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "030-0000260",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED PROVIDER ID NUMBER",
            "identifier": "VT0260",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARBO OE NUMBER",
            "identifier": "502217",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serena Ann Magnan, PT
• Owen David Maguire, MD
• Mainspring Health, Inc.
• Moriah Constance Manahan
• Stephen E Mann, MD
• Jessica Marini, BCABA
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)
• Tracey Sue Maurer, MD
• Sarah E Mazur, DPT
• Andrew McCanse, D.C.

• Corneal and Contact Management Optometrist in Williston, VT
• Providers in Williston, VT by specialty
• Corneal and Contact Management Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.