Ethan Allen Optical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0280000210 Issued in VT

Legal business name

ETHAN ALLEN OPTICAL

Practice address

1127 North Ave Ste 34
Burlington, VT 05408-2756

Phone

(802) 658-6700

NPI assigned

Jan 16, 2008

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christopher Thomas MurthaNPI 1518091545

Title

Optician

Phone

(802) 658-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher T Murtha, OPTICIAN

  • Optician
  • Burlington, VT
  • NPI 1518091545
  NPD (past) Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1629254990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 NORTH AVE STE 34",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082756",
            "telephone_number": "802-658-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 NORTH AVE STE 34",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054082756",
            "telephone_number": "802-658-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHAN ALLEN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "MURTHA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "802-658-6700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VT",
            "license": "0280000210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006612",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Child Ernst, DPT
• Layni Ertell
• Kameron Escajeda
• Luis Miguel Escano Volquez, MD
• Vivian Esparza, M.D.
• Ellen Gloria Evans
• Krista E. Evans, M.D.
• Lindsay Reardon Evans, M.D.
• Jennifer Lynn Evansfirst, N.P.
• Jesse Murray Evensky, MD

• Durable Medical Equipment & Medical Supplies in Burlington, VT
• Providers in Burlington, VT by specialty
• Durable Medical Equipment & Medical Supplies in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.