Moultons Spectacle Shoppe

Primary specialty

OpticianTaxonomy code 156FX1800X

License

0280000139 Issued in VT

Legal business name

MOULTONS SPECTACLE SHOPPE

Practice address

463 Main St
Bennington, VT 05201-2141

Phone

(802) 442-8002

Fax

(802) 447-2957

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert R Moulton, OPTICIAN

Title

Owner

Phone

(802) 442-8002

Specialties & licenses 1

Addresses

Tax ID family

Moultons Spectacle Shoppe3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Moultons Spectacle Shoppe

  • Eyewear Supplier
  • Bennington, VT
  • NPI 1679596753
  NPD tax ID
• Moultons Spectacle Shoppe

  dba same

  • Optician
  • North Adams, MA
  • NPI 1417980509
  NPD tax ID

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922031012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 MAIN STREET",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "05201",
            "telephone_number": "802-442-8002",
            "fax_number": "802-447-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 MAIN ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052012141",
            "telephone_number": "802-442-8002",
            "fax_number": "802-447-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOULTONS SPECTACLE SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOULTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-442-8002",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "VT",
            "license": "0280000139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Steven Moore, MHP
• Pierre Morin
• Jessica Frances Moses, FNP-BC
• Anne R Most, LICSW
• Moultons Spectacle Shoppe
• Mount Anthony Housing Corporation (Centers for Living and Rehabilitation)
• Kristen Munson, PSY.D.
• Allison Morse Murphy, NURSE PRACTITIONER
• Cynthia Ann Murphy, PSY.D., MBA
• Nancy Scattergood Donavan MD

• Optician in Bennington, VT
• Providers in Bennington, VT by specialty
• Optician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.