Gary B Irish, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0300000141 Issued in VT

Practice address

87 Main St
Essex JCT, VT 05452-3234

Phone

(802) 878-6830

Fax

(802) 878-6315

NPI assigned

Sep 29, 2005

Last updated

Apr 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Milton Family Eyecare

  • Optometrist
  • Essex Junction, VT
  • NPI 1609186170
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272585600000",
    "number": "1760479356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523234",
            "telephone_number": "802-878-6830",
            "fax_number": "802-878-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 MAIN ST",
            "city": "ESSEX JCT",
            "state": "VT",
            "postal_code": "054523234",
            "telephone_number": "802-878-6830",
            "fax_number": "802-878-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRISH",
        "first_name": "GARY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "0300000141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58749",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBA",
            "identifier": "030427694",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT MANAGED CARE",
            "identifier": "59298",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "59V024",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6168371",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel M Foxx, RN, IBCLC
• Debra Frisbie, H.I.S.
• Craig Allen Goliber, D.M.D.
• Jerry Steven Hale, M.D.
• Hillary Holmes, LICSW
• J. Scott Thompson, D.M.D., P.C.
• Elizabeth H Jillson, M.D.
• Sandra E Kapsalis, M.D.
• Patricia King, MD
• Penny Kuang, PHARMD

• Optometrist in Essex JCT, VT
• Providers in Essex JCT, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.