Active NPI
Dean A Barcelow, O.D.
- Optometrist
- Bethel, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0300054454
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1016712 | Medicaid | VT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0300054454 | VT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare for You, PC | Current | Accepting new patients | |
| Eyecare for You, PC | Optometrist | Current | 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.
-
- Optometrist
- Bethel, VT
- NPI 1518296748
-
- Optometrist
- White River Junction, VT
- NPI 1841790326
-
- Eyewear Supplier
- Bethel, VT
- NPI 1144613852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.