Active NPI
Paula Laroche, O.D.
- Optometrist
- Bennington, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 030-0000310
- Practice address
- 322 Dewey St
Bennington, VT 05201-2225 - Phone
- (802) 447-8700
- Fax
- (802) 447-1500
- NPI assigned
- May 23, 2006
- Last updated
- Mar 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 030-0000310 | VT | Primary |
Addresses
Primary practice location
322 Dewey St
Bennington, VT 05201-2225
Mailing address
322 Dewey St
Bennington, VT 05201-2225
Phone (802) 447-8700
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02360947 | Medicaid | NY | |
| 10063061 | Other | VT | CDPHP |
| 361194 | Other | VT | MVP |
| OVN2992 | Medicaid | VT | |
| 410049539 | Other | VT | RR MCRP |
| 59302 | Other | VT | VTBS |
| 0965940001 | Other | VT | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Waterloo - School of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
322 Dewey St
Bennington, VT 05201-2225
Phone (802) 447-8700
77 Hospital Ave
North Adams, MA 01247-2550
Phone (413) 664-6736
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030-0000310 | VT | MD | Optometrist |
| 4389 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eyecare PC | Optometrist | Current | Accepting new patients |
| Advanced Eyecare, PC | Past | Accepting new patients | |
| Advanced Eyecare, PC | Past | Accepting new patients |
Locations
77 Hospital Ave
North Adams, MA 01247
Phone (413) 346-4242
77 Hospital Ave
Ste 110
North Adams, MA 01247
Phone (413) 664-6736
322 Dewey St
Bennington, VT 05201
Phone (802) 447-8700
5222 Main St
Manchestr Ctr, VT 05255
Phone (802) 366-8050
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Eyewear Supplier
- Manchester Center, VT
- NPI 1386832756
-
- Eyewear Supplier
- North Adams, MA
- NPI 1184812554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522368000000",
"number": "1669427407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 DEWEY ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012225",
"telephone_number": "802-447-8700",
"fax_number": "802-447-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 DEWEY ST",
"city": "BENNINGTON",
"state": "VT",
"postal_code": "052012225",
"telephone_number": "802-447-8700",
"fax_number": "802-447-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROCHE",
"first_name": "PAULA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2018-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "030-0000310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02360947",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10063061",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "361194",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN2992",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCRP",
"identifier": "410049539",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VTBS",
"identifier": "59302",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0965940001",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bennington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.