Active NPI
Optical Expressions Berlin, LLC
- Optometrist
- Barre, VT
National Provider Identifier
1740442417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- L0023504
- Legal business name
- OPTICAL EXPRESSIONS BERLIN, LLC
- Practice address
- 14 N Main St Ste 4002
Barre, VT 05641-4505 - Phone
- (802) 223-2090
- Fax
- (802) 223-5336
- NPI assigned
- Jun 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sally Anne Boyle
- Title
- Office Manager
- Phone
- (802) 223-2090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | L0023504 | VT | Primary |
Addresses
Primary practice location
14 N Main St Ste 4002
Barre, VT 05641-4505
Mailing address
14 N Main St Ste 4002
Barre, VT 05641-4505
Phone (802) 223-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14 N Main St
Ste 4002
Barre, VT 05641
Phone (802) 223-2090
282 Berlin Mall Rd
Berlin, VT 05602
Phone (802) 223-2090
282 Berlin Mall Rd
Ste 4
Berlin, VT 05602
Phone (802) 223-2090
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Berlin, VT
- NPI 1346497062
-
- Optometrist
- Berlin, VT
- NPI 1134234438
-
- Low Vision Rehabilitation Optometrist
- West Haven, CT
- NPI 1235954868
VT
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727308800000",
"number": "1740442417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 N MAIN ST STE 4002",
"city": "BARRE",
"state": "VT",
"postal_code": "056414505",
"telephone_number": "802-223-2090",
"fax_number": "802-223-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 N MAIN ST STE 4002",
"city": "BARRE",
"state": "VT",
"postal_code": "056414505",
"telephone_number": "802-223-2090",
"fax_number": "802-223-5336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTICAL EXPRESSIONS BERLIN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-25",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A",
"authorized_official_last_name": "BOYLE",
"authorized_official_first_name": "SALLY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "802-223-2090"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VT",
"license": "L0023504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barre, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.