Alexander Athan Tenentes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0300000194 Issued in VT

Practice address

168 North St
Bennington, VT 05201-1874

Phone

(802) 442-2115

Fax

(802) 442-2115

NPI assigned

Oct 25, 2005

Last updated

Jul 7, 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 3

Other names 1

• Ms. Rose-Marie J. Santarcangelo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

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  • Bennington, VT
  • NPI 1396471892
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1780674325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 NORTH ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011874",
            "telephone_number": "802-442-2115",
            "fax_number": "802-442-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 NORTH ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011874",
            "telephone_number": "802-442-2115",
            "fax_number": "802-442-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENENTES",
        "first_name": "ALEXANDER",
        "middle_name": "ATHAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "0300000194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "926270",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "56764",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006614",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE-MARIE",
            "last_name": "SANTARCANGELO",
            "middle_name": "J.",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ann Marie Swann, MD
• Susan Marie Sweeney, M.A.
• Patrick J Tangney, MD
• Chelsea Marie Tarsa, OTR/L
• Ileana Tecchio, ND LAC
• The Manes House Inc.
• The Weston Group Inc (The Weston Health Care Group Inc)
• Angela Theiss, MD
• Hope Therrien
• Jill Thomayer

• Optometrist in Bennington, VT
• Providers in Bennington, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.