Axismeridian Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AXISMERIDIAN INC

Practice address

463 Main St
Bennington, VT 05201-3041

Phone

(802) 442-0781

Fax

(802) 442-0791

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Mercedes Delgaudio Smith, ODNPI 1861017253

Title

President

Phone

(210) 709-5349

Specialties & licenses 1

Addresses

Other names 1

• BENNINGTON FAMILY EYECARE Doing business as

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

• Mercedes Delgaudio Smith, OD

  • Optometrist
  • Springfield, VT
  • NPI 1861017253
  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1689401150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 MAIN ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052013041",
            "telephone_number": "802-442-0781",
            "fax_number": "802-442-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 MAIN ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052013041",
            "telephone_number": "802-442-0781",
            "fax_number": "802-442-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXISMERIDIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "DELGAUDIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-709-5349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENNINGTON FAMILY EYECARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BENNINGTON FAMILY EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Bennington, VT
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.