Waterbury Eye Care Center, PLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WATERBURY EYE CARE CENTER, PLC

Practice address

83 S Main St
Waterbury, VT 05676-1573

Phone

(802) 244-1360

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Randie J Willand, O.D.NPI 1205049293

Title

Sole MBR

Phone

(802) 279-8033

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

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

• Randie Jean Willand, O.D.

  • Optometrist
  • South Burlington, VT
  • NPI 1205049293
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1639614332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 S MAIN ST",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761573",
            "telephone_number": "802-244-1360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 S MAIN ST",
            "city": "WATERBURY",
            "state": "VT",
            "postal_code": "056761573",
            "telephone_number": "802-244-1360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERBURY EYE CARE CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "WILLAND",
        "authorized_official_first_name": "RANDIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "802-279-8033",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.