Individual provider Active NPI

Monica Lewis Wolosinski, O.D.

  • Optometrist
  • Middlebury, VT
National Provider Identifier
1700935145
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0300000325 Issued in VT
Practice address
91 Main St
Middlebury, VT 05753-1335
Phone
(802) 388-2811
Fax
(802) 388-8265
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0300000325 VT Primary

Addresses

Primary practice location

91 Main St
Middlebury, VT 05753-1335

Mailing address

91 Main St
P.O. Box 68
Middlebury, VT 05753-1335
Phone (802) 388-2811

Other identifiers 3

IdentifierTypeStateIssuer
59474OtherVTBCBS
364702OtherVTMVP
1009803MedicaidVT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110912000437 VT Practitioner - Optometry 6204007834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlebury Eye Associates IncGroup PAC ID 7517030364, 7 clinicians

Practice addresses (Care Compare)

91 Main St
Middlebury, VT 05753-1335
Phone (802) 388-2811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0300000325VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Middlebury Eye Associates Inc Optometrist CurrentSince Oct 19, 2018 Accepting new patients

Locations

91 Main St
Middlebury, VT 05753
Phone (802) 388-2811

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700935145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MAIN ST",
            "address_2": "P.O. BOX 68",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531335",
            "telephone_number": "802-388-2811",
            "fax_number": "802-388-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MAIN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531335",
            "telephone_number": "802-388-2811",
            "fax_number": "802-388-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOSINSKI",
        "first_name": "MONICA",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "0300000325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "59474",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "364702",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009803",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.