Valley Optometry, PLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VALLEY OPTOMETRY, PLC

Practice address

198 N Main St
Rutland, VT 05701-3020

Phone

(802) 775-2368

NPI assigned

Jan 10, 2020

Organization subpart

No

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

Authorized official

Name

Leanna OlennikovNPI 1275885501

Title

Optometrist

Phone

(360) 521-5768

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leanna A Olennikov, OD

  • Optometrist
  • Rutland, VT
  • NPI 1275885501
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1790325462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013020",
            "telephone_number": "802-775-2368",
            "fax_number": "802-775-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057013020",
            "telephone_number": "802-775-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OPTOMETRY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "OLENNIKOV",
        "authorized_official_first_name": "LEANNA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "360-521-5768"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Alexander Ullman, DMD, MDS
• Cheryl Lang Ullman, DMD
• Annelise Ulrich, LICSW, LADC
• University of Vermont Medical Center Inc
• Jaimi Vajda, OTR
• William F Vandercar, PT
• Joseph Henry Vargas III, M.D.
• Vermont Catholic Charities, Inc
• Vermont CVS Pharmacy, LLC (CVS Pharmacy #00673)
• Vermont Educational Support Associates, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.

Verify at the official NPI Registry.