Virtual Optics Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

00000258 Issued in VT

Legal business name

VIRTUAL OPTICS INC

Doing business as

Middlebury Optics

Practice address

1 Washington St
Middlebury, VT 05753-1215

Phone

(802) 388-2165

NPI assigned

Oct 26, 2006

Last updated

Jun 25, 2008By 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

Mr. Amjad Mahmoud Hayyat, OPTICIANNPI 1114042348

Title

Owner/ Optician

Phone

(802) 388-2165

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Middlebury Optics Doing business as

Locations

Practitioners 1

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.

• Amjad Mahmoud Hayyat, OPTICIAN

  • Optician
  • Middlebury, VT
  • NPI 1114042348
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1982789368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531215",
            "telephone_number": "802-388-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL OPTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HAYYAT",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_middle_name": "MAHMOUD",
        "authorized_official_title_or_position": "OWNER/ OPTICIAN",
        "authorized_official_telephone_number": "802-388-2165",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "00000258",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VT",
            "license": "028-0000295",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011578",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlebury Optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.