Active NPI
Sally D. Elkins, LDO
- Optician
- Shelburne, VT
National Provider Identifier
1497972657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 171
- Practice address
- 2989 Shelburne Rd Ste 1
Shelburne, VT 05482-6369 - Phone
- (802) 985-8333
- Fax
- (802) 985-5770
- NPI assigned
- Apr 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 171 | VT | Primary |
Addresses
Primary practice location
2989 Shelburne Rd Ste 1
Shelburne, VT 05482-6369
Mailing address
2989 Shelburne Rd Ste 1
Shelburne, VT 05482-6369
Phone (802) 985-8333
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
| License | State | Type | Specialty |
|---|---|---|---|
| 171 | VT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1497972657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2989 SHELBURNE RD STE 1",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054826369",
"telephone_number": "802-985-8333",
"fax_number": "802-985-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2989 SHELBURNE RD STE 1",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "054826369",
"telephone_number": "802-985-8333",
"fax_number": "802-985-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELKINS",
"first_name": "SALLY",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-19",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "VT",
"license": "171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelburne, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.