Individual provider Active NPI

Deborah Ann Rowe Huether, OPTICIAN

  • Optician
  • Manchester Center, VT
National Provider Identifier
1487874509
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
0280000232 Issued in VT
Practice address
4368 Route 7a
Village Mall
Manchester Center, VT 05255-0567
Phone
(802) 362-2020
Fax
(802) 362-2524
NPI assigned
Apr 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 0280000232 VT Primary

Addresses

Primary practice location

4368 Route 7a
Village Mall
Manchester Center, VT 05255-0567

Mailing address

PO Box 567
Manchester Center, VT 05255-0567
Phone (802) 362-2020

Other identifiers 1

IdentifierTypeStateIssuer
0280000232OtherVTSTATE OF VERMONT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0280000232VTMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Eye Care PC Optician Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487874509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 567",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052550567",
            "telephone_number": "802-362-2020",
            "fax_number": "802-362-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 ROUTE 7A",
            "address_2": "VILLAGE MALL",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052550567",
            "telephone_number": "802-362-2020",
            "fax_number": "802-362-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUETHER",
        "first_name": "DEBORAH",
        "middle_name": "ANN ROWE",
        "name_prefix": "Ms.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VT",
            "license": "0280000232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF VERMONT",
            "identifier": "0280000232",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester Center, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.