Christopher C Connor, MD
Individual provider Active NPI Ophthalmology Physician · Windsor, VT
NPI 1477516847 · NPPES record last updated Jan 29, 2010
Key facts
- NPI
- 1477516847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 042-0007623 (VT)
- Practice address
- 289 County Rd
Windsor, VT 05089-9000 - Phone
- (802) 674-7345
- Fax
- (802) 674-2872
- NPI assigned
- Apr 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050523000110 | VT | Practitioner - Ophthalmology | 6507807369 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0007623 | VT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Past | Accepting new patients | |
| Brattleboro Memorial Hospital | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d9dc001d-1bc5-42f9-bd4d-eb79208fd32a/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 042-0007623 | VT | Yes |
Addresses
Primary practice location
289 County Rd
Windsor, VT 05089-9000
Mailing address
289 County Rd
Windsor, VT 05089-9000
Phone (802) 674-7345
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009519 | Medicaid | VT |
Other providers in Windsor, VT
- Amanda M Clark
- Darcy Cole
- Francesco Congiusta
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- Connecticut Valley Recovery Services, Inc.
- Heidi M Cruz
- Elizabeth A Derry
- Katherine Devine
- William Diez
- Ginger Dockum
All providers in Windsor, VT · Ophthalmology Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2010. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.