NPIMap

Organization Active NPI

Rutland Optical Inc

  • Optician
  • Rutland, VT
National Provider Identifier
1457319816
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
43 Issued in VT
Legal business name
RUTLAND OPTICAL INC
Practice address
28 Center St
Rutland, VT 05701-4015
Phone
(802) 775-0121
Fax
(802) 747-6680
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Elizabeth N Gilman
Title
Vice President
Phone
(802) 775-0121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 43 VT Primary

Addresses

Primary practice location

28 Center St
Rutland, VT 05701-4015

Mailing address

28 Center St
Rutland, VT 05701-4015
Phone (802) 775-0121

Other identifiers 1

IdentifierTypeStateIssuer
049454000154OtherVTMEDICARE SUPPLIER NUMBER

National Provider Directory

National Provider Directory

Locations

28 Center St
Rutland, VT 05701
Phone (802) 775-0121

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1457319816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CENTER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014015",
            "telephone_number": "802-775-0121",
            "fax_number": "802-747-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CENTER ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014015",
            "telephone_number": "802-775-0121",
            "fax_number": "802-747-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLAND OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "GILMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "802-775-0121"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "VT",
            "license": "43",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER NUMBER",
            "identifier": "049454000154",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.