Williston Vision Repair PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WILLISTON VISION REPAIR PC

Practice address

166 Sycamore St
Suite 150
Williston, VT 05495-8217

Phone

(802) 655-6190

NPI assigned

Jul 16, 2009

Organization subpart

No

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

Authorized official

Name

Micheal Taub, MD

Title

Owner/Administrator

Phone

(802) 655-6190

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicholas Paul Marconi, O.D.

  • Corneal and Contact Management Optometrist
  • Williston, VT
  • NPI 1417083577
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1538399159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SYCAMORE ST",
            "address_2": "SUITE 150",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958217",
            "telephone_number": "802-655-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SYCAMORE ST",
            "address_2": "SUITE 150",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054958217",
            "telephone_number": "802-655-6190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLISTON VISION REPAIR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "802-655-6190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waldemar Z. Wierzbicki, BSPHARM
• Nathan Albert Wigton Bell, PA-C
• Jonathan Benjamin Wilfong, M.D.
• Andrew John Williams, DC
• Williston Health Supplies
• Darla E Witmer, ARNP
• Ann S Wittpenn, M.D.
• Jason Wolstenholme, D.C.
• Jillian C.O. Womersley, PT
• Sandra Gail Wood, CNM

• Optometrist in Williston, VT
• Providers in Williston, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.