Active NPI
Gregory P. Guilmartin, LICENSED OPTICIAN
- Optician
- Shelburne, VT
National Provider Identifier
1700212982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 028.0000346
- Practice address
- 2989 Shelburne Road
Shelburne, VT 05482 - Phone
- (802) 985-8333
- Fax
- (802) 985-5770
- NPI assigned
- Sep 19, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 028.0000346 | VT | Primary |
Addresses
Primary practice location
2989 Shelburne Road
Shelburne, VT 05482
Mailing address
2989-1 Shelburne Rd.
Shelburne, VT 05482
Phone (802) 985-8333
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 |
|---|---|---|---|
| 028.0000346 | VT | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1700212982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2989-1 SHELBURNE RD.",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "05482",
"telephone_number": "802-985-8333",
"fax_number": "802-985-5770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2989 SHELBURNE ROAD",
"city": "SHELBURNE",
"state": "VT",
"postal_code": "05482",
"telephone_number": "802-985-8333",
"fax_number": "802-985-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILMARTIN",
"first_name": "GREGORY",
"middle_name": "P.",
"name_prefix": "Mr.",
"credential": "LICENSED OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-19",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "VT",
"license": "028.0000346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelburne, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.