Active NPI
Andrea L Murphy, OD, FAAO
- Optometrist
- White River Junction, VT
National Provider Identifier
1689830929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 030-0000351
- Practice address
- 215 North Main Street, Desk 100 (112)
Department of Veteran Affairs
White River Junction, VT 05009 - Phone
- (802) 295-9363
- Fax
- (802) 296-5112
- NPI assigned
- Aug 6, 2008
- 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 | 030-0000351 | VT | Primary |
Addresses
Primary practice location
215 North Main Street, Desk 100 (112)
Department of Veteran Affairs
White River Junction, VT 05009
Mailing address
215 North Main Street, Desk 100 (112)
Department of Veteran Affairs
White River Junction, VT 05009
Phone (802) 295-9363
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OVN1861 | Medicaid | VT | |
| 30210240 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210722003460 | VT | Order and Referring Only - Optometry | 4789087115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3287 | TN | MD | Dentist |
| 030-0000351 | VT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372291200000",
"number": "1689830929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 NORTH MAIN STREET, DESK 100 (112)",
"address_2": "DEPARTMENT OF VETERAN AFFAIRS",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "05009",
"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 NORTH MAIN STREET, DESK 100 (112)",
"address_2": "DEPARTMENT OF VETERAN AFFAIRS",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "05009",
"telephone_number": "802-295-9363",
"fax_number": "802-296-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURPHY",
"first_name": "ANDREA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD, FAAO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-06",
"last_updated": "2013-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "030-0000351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OVN1861",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30210240",
"state": "NH"
}
],
"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 Jun 27, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.