Individual provider Active NPI

Todd A Page, O.D.

  • Optometrist
  • Montpelier, VT
National Provider Identifier
1609039379
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030--0000350 Issued in VT
Practice address
81 River St
Suite 203
Montpelier, VT 05602-3792
Phone
(802) 223-3761
Fax
(802) 223-5270
NPI assigned
Jul 3, 2008
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030--0000350 VT Primary

Addresses

Primary practice location

81 River St
Suite 203
Montpelier, VT 05602-3792

Mailing address

81 River St
Suite 203
Montpelier, VT 05602-3792
Phone (802) 223-3761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081106000350 VT Practitioner - Optometry 0143389098 Reassigns benefits to 1 organization
Practice locations: Montpelier, VT

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

81 River St
Suite 203
Montpelier, VT 05602-3750
Phone (802) 223-3761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030--0000350VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Eye Care LLC Optometrist CurrentSince Jan 16, 2023 Accepting new patients

Locations

81 River St
Ste 203
Montpelier, VT 05602
Phone (802) 223-3761

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1609039379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 RIVER ST",
            "address_2": "SUITE 203",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023792",
            "telephone_number": "802-223-3761",
            "fax_number": "802-223-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 RIVER ST",
            "address_2": "SUITE 203",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023792",
            "telephone_number": "802-223-3761",
            "fax_number": "802-223-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030--0000350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

Verify at the official NPI Registry.