Individual provider Active NPI

Dean A Barcelow, O.D.

  • Optometrist
  • Bethel, VT
National Provider Identifier
1780814632
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0300054454 Issued in VT
Practice address
1593 Vermont Route 107
Bethel, VT 05032-4456
Phone
(802) 234-9728
Fax
(802) 234-9732
NPI assigned
Jul 24, 2009
Last updated
May 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0300054454 VT Primary

Addresses

Primary practice location

1593 Vermont Route 107
Bethel, VT 05032-4456

Mailing address

1593 Vermont Route 107
Bethel, VT 05032-4456
Phone (802) 558-3604

Other identifiers 1

IdentifierTypeStateIssuer
1016712MedicaidVT

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
I20100331000871 VT Practitioner - Optometry 6002942810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Junction Eye Center LLCGroup PAC ID 1951664721, 6 clinicians
Eyecare for You PCGroup PAC ID 5799001822, 5 clinicians

Practice addresses (Care Compare)

155 Maple St
White River Junction, VT 05001-7029
Phone (802) 295-3300

1593 VT Rte
Suite 107
Bethel, VT 05032-4456
Phone (802) 234-9728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0300054454VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare for You, PC CurrentSince Jan 1, 2015 Accepting new patients
Eyecare for You, PC Optometrist CurrentSince Jan 1, 2015 Accepting new patients
Sonja P. Carleton, Optician Past Accepting new patients
Samuel Giveen LLC Optometrist Past Accepting new patients

Locations

1593 Vt Rte 107
Bethel, VT 05032
Phone (802) 234-9728

Organizations & group practices 5

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": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1780814632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 VERMONT ROUTE 107",
            "city": "BETHEL",
            "state": "VT",
            "postal_code": "050324456",
            "telephone_number": "802-558-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 VERMONT ROUTE 107",
            "city": "BETHEL",
            "state": "VT",
            "postal_code": "050324456",
            "telephone_number": "802-234-9728",
            "fax_number": "802-234-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCELOW",
        "first_name": "DEAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-24",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "0300054454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016712",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, VT

Sources for this page

Verify at the official NPI Registry.