Specialeyes Professional Eye Care Services, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

030-0000292 Issued in VT

Legal business name

SPECIALEYES PROFESSIONAL EYE CARE SERVICES, PLLC

Doing business as

Peak View Eye Care

Practice address

27 Main St
Vergennes, VT 05491-1113

Phone

(802) 877-2422

Fax

(802) 877-1124

NPI assigned

Aug 18, 2009

Last updated

May 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Baldwin Austin, O.D.NPI 1659372696

Title

President/Member

Phone

(802) 877-2422

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Peak View Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert B Austin, O.D.

  • Optometrist
  • Vergennes, VT
  • NPI 1659372696
  Medicare reassignment NPD Authorized official
• Melvin W Simmons, O.D.

  • Optometrist
  • Vergennes, VT
  • NPI 1679689491
  NPD (past)

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1790917102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054911113",
            "telephone_number": "802-877-2422",
            "fax_number": "802-877-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054911113",
            "telephone_number": "802-877-2422",
            "fax_number": "802-877-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALEYES PROFESSIONAL EYE CARE SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BALDWIN",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "802-877-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0000292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "200072249",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0000013132",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF VERMONT",
            "identifier": "1790917102",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak View Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca J Sanford, RPH
• James Sawyer
• Sharon M. Coleman, Licsw, Ladc, Sap, LLC
• Melvin W Simmons, O.D.
• Smith Management Services, LLC (Marble Works Pharmacy)
• Charles Stapleford
• Thirty Four North LLC (Vergennes Grand)
• Vergennes Area Rescue Squad Inc.
• Vergennes Residential Care, Inc.
• Vergennes Village LLC (Vergennes Residential Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.