Active NPI
Alyssa Fasano
- Optometrist
- White River Junction, VT
National Provider Identifier
1649699083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 030.0096019
- Practice address
- 215 N Main St
White River Junction, VT 05009-0001 - Phone
- (802) 295-9363
- Fax
- (802) 296-5112
- NPI assigned
- Apr 14, 2014
- Last updated
- Apr 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 030.0096019 | VT | Primary |
Addresses
Primary practice location
215 N Main St
White River Junction, VT 05009-0001
Mailing address
215 N Main St
White River Junction, VT 05009-0001
Phone (802) 295-9363
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030.0096019 | VT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397433600000",
"number": "1649699083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 N MAIN ST",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050090001",
"telephone_number": "802-295-9363",
"fax_number": "802-296-5112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 N MAIN ST",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050090001",
"telephone_number": "802-295-9363",
"fax_number": "802-296-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASANO",
"first_name": "ALYSSA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2014-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "030.0096019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.