Individual provider Active NPI

Tiffany Pincombe, O.D.

  • Optometrist
  • South Burlington, VT
National Provider Identifier
1891728259
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030-0000327 Issued in VT
Practice address
1185 Shelburne Rd Ste 5
South Burlington, VT 05403
Phone
(802) 862-0023
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV-006729 NY
Optometrist 152W00000X 030-0000327 VT Primary

Addresses

Primary practice location

1185 Shelburne Rd Ste 5
South Burlington, VT 05403

Mailing address

1185 Shelburne Rd Ste 5
South Burlington, VT 05403-7701
Phone (802) 862-0023

Other practice location 1

863 Harvest Ln
Williston, VT 05495-7319
Phone (802) 878-2633

Other practice location 2

863 Harvest Ln
Williston, VT 05495-7319
Phone (802) 878-2633

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
I20141112000197 VT Practitioner - Optometry 4880659044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Pincombe and WillisGroup PAC ID 5597987578, 3 clinicians

Practice addresses (Care Compare)

1185 Shelburne Rd
Suite 5
South Burlington, VT 05403-7701
Phone (802) 862-0023

4 Laurel Hill Dr
South Burlington, VT 05403-7378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV-006729NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pincombe & Willis Optometrist CurrentSince Sep 9, 2014 Accepting new patients
Dr. Dorothy L. Hitchmoth, PLLC Optometrist PastSince Jan 26, 2022 Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients

Locations

4 Laurel Hill Dr
South Burlington, VT 05403
Phone (802) 488-0235

1185 Shelburne Rd
Ste 5
South Burlington, VT 05403
Phone (802) 862-0023

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1891728259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 SHELBURNE RD STE 5",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054037701",
            "telephone_number": "802-862-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 SHELBURNE RD STE 5",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "05403",
            "telephone_number": "802-862-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "863 Harvest Ln",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "VT",
            "postal_code": "054957319",
            "country_code": "US",
            "telephone_number": "802-878-2633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "863 Harvest Ln",
            "address_purpose": "LOCATION",
            "city": "Williston",
            "state": "VT",
            "postal_code": "054957319",
            "country_code": "US",
            "telephone_number": "802-878-2633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINCOMBE",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-006729",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0000327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Burlington, VT

Sources for this page

Verify at the official NPI Registry.