Individual provider Active NPI

Christopher Allen Nisbet, O.D.

  • Optometrist
  • Rutland, VT
National Provider Identifier
1720397805
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0097095 Issued in VT
Practice address
69 Allen St
Suite 15
Rutland, VT 05701-4564
Phone
(802) 775-0038
Fax
(802) 747-0602
NPI assigned
Oct 6, 2010
Last updated
Jul 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030.0097095 VT Primary

Addresses

Primary practice location

69 Allen St
Suite 15
Rutland, VT 05701-4564

Mailing address

69 Allen St
Suite 15
Rutland, VT 05701-4564
Phone (802) 775-0038

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
I20130904000708 VT Practitioner - Optometry 9436392826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Vermont Eye Care, P.C.Group PAC ID 5193724011, 3 clinicians

Practice addresses (Care Compare)

69 Allen St
Suite 15
Rutland, VT 05701-4879
Phone (802) 775-0038

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030.0097095VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Eye Care, P.C. CurrentSince Sep 1, 2013 Accepting new patients
Vermont Optical Corp PastSince Sep 1, 2013 Accepting new patients

Locations

69 Allen St
Ste 15
Rutland, VT 05701
Phone (802) 775-0038

Organizations & group practices 2

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": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1720397805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST",
            "address_2": "SUITE 15",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "802-775-0038",
            "fax_number": "802-747-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 ALLEN ST",
            "address_2": "SUITE 15",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057014564",
            "telephone_number": "802-775-0038",
            "fax_number": "802-747-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISBET",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0097095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutland, VT

Sources for this page

Verify at the official NPI Registry.