Andrea J Hawryluk, OD
Individual provider Active NPI Optometrist · White River Junction, VT
NPI 1457090052 · NPPES record last updated Mar 25, 2024
Key facts
- NPI
- 1457090052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 030.0133983 (VT)
- Practice address
- 155 Maple St Ste 1
White River Junction, VT 05001-7029 - Phone
- (802) 295-3300
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Junction Eye Center LLC
Eyecare for You PC
Practice addresses (Care Compare)
155 Maple St
White River Junction, VT 05001-7029
Phone (802) 295-3300
1593 VT Rte
Suite 107
Bethel, VT 05032-4456
Phone (802) 234-9728
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230616001794 | VT | Practitioner - Optometry | 8729446158 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV009543-01 | NY | MD | Optometrist |
| 030.0133983 | VT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare for You, PC | Optometrist | Current |
Accepting new patients |
| Eyecare for You, PC | Current |
Accepting new patients | |
| Junction Eye Center LLC | Optometrist | Current |
Accepting new patients |
| Montrose Vamc | Past |
Accepting new patients |
Locations
1593 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-9728
155 Maple St
White River Junction, VT 05001
Phone (802) 295-3300
155 Maple St
Ste 1
White River Junction, VT 05001
Phone (802) 295-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 030.0133983 | VT | Yes |
| Optometrist | 152W00000X | TUV009543-01 | NY |
Addresses
Primary practice location
155 Maple St Ste 1
White River Junction, VT 05001-7029
Mailing address
155 Maple St Ste 1
White River Junction, VT 05001-7029
Phone (802) 295-3300
Other providers in White River Junction, VT
- Happy Trails Nutrition L.L.C.
- Anna Lisa Harmon
- Matthew Edward Harrington
- Kimberley Ann Hartell
- Chelsie Hatfield
- Rachel Hayes
- Ran He
- Amy Webster Healy
- Julia Pitkin Healy
- Ethan Henderson
All providers in White River Junction, VT · Optometrist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.