Organization Active NPI

Milton Family Eyecare

  • Optometrist
  • Essex Junction, VT
National Provider Identifier
1609186170
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MILTON FAMILY EYECARE
Practice address
16 Railroad St
Essex Junction, VT 05452-3779
Phone
(802) 871-5718
Fax
(802) 871-5950
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Authorized official

Name
Mrs. Kimberly A Bourdeau
Title
Owner
Phone
(802) 871-5718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16 Railroad St
Essex Junction, VT 05452-3779

Mailing address

16 Railroad St
Essex Junction, VT 05452-3779
Phone (802) 871-5718

Other identifiers 5

IdentifierTypeStateIssuer
030427694OtherVTCBA
59V024OtherMVP
6168371OtherVTCIGNA
58749OtherVTBCBS
59298OtherVTVERMONT MANAGED CARE

National Provider Directory

National Provider Directory

Locations

87 Main St
Ste 4
Essex Junction, VT 05452
Phone (802) 878-6830

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555027200000",
    "number": "1609186170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 RAILROAD ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523779",
            "telephone_number": "802-871-5718",
            "fax_number": "802-871-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 RAILROAD ST",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523779",
            "telephone_number": "802-871-5718",
            "fax_number": "802-871-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2019-04-12",
        "status": "A",
        "authorized_official_last_name": "BOURDEAU",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-871-5718",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "030427694",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "59V024",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6168371",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58749",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT MANAGED CARE",
            "identifier": "59298",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Essex Junction, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.