Individual provider Active NPI

John C Duff, O.D.

  • Optometrist
  • Brattleboro, VT
National Provider Identifier
1629033394
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030000175 Issued in VT
Practice address
399 Canal St
Brattleboro, VT 05301-6619
Phone
(802) 254-6611
Fax
(802) 258-4655
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
030000175VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bratt Eye PLLC Optometrist CurrentSince Sep 5, 2023 Accepting new patients
Afterimage Inc. Optometrist PastSince May 16, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030000175 VT Primary

Addresses

NPPES NPI Registry

Primary practice location

399 Canal St
Brattleboro, VT 05301-6619

Mailing address

399 Canal St
Brattleboro, VT 05301-6619
Phone (802) 254-6611

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
0006601MedicaidVT
410003059OtherVTRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2014.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1629033394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 CANAL ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016619",
            "telephone_number": "802-254-6611",
            "fax_number": "802-258-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 CANAL ST",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053016619",
            "telephone_number": "802-254-6611",
            "fax_number": "802-258-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030000175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006601",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410003059",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brattleboro, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.