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EYECARE OF VERMONT PLC NPI 1124117973


NPI Information

NPI: 1124117973
Provider Name: EYECARE OF VERMONT, PLC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
230 COLLEGE ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 658-3330
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EYECARE OF VERMONT, PLC is an optometrist in Burlington, VT. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. EYECARE OF VERMONT, PLC NPI is 1124117973. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

230 COLLEGE ST
BURLINGTON, VT
ZIP 05401-352
Phone: (802) 658-3330
Fax: (802) 658-7464

The provider's authorized official is Jon D Eriksson .
The authorized official title is Owner Manager and has the following contact phone number (802) 878-5509.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 3/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist030-0000156VERMONTNo
2152WL0500XOptometristLow Vision Rehabilitation030-0000265VERMONTNo
3152WL0500XOptometristLow Vision Rehabilitation030-0000293VERMONTNo
4152W00000XOptometrist030-0000338VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VN2193MEDICARE UPINVERMONT
239218OTHERVERMONTBLUECROSS/BLUESHIELD
3OVN2193MEDICAIDVERMONT
4T25384MEDICARE UPINVERMONT
5U54597MEDICARE UPINVERMONT
61166180003MEDICARE NSCVERMONT
7V07512MEDICARE UPINVERMONT
8U82347MEDICARE UPINVERMONT
9VN2193MEDICARE ID-TYPE UNSPECIFIEDVERMONT
101166180001MEDICARE NSCVERMONT
11CG0391OTHERVERMONTRAILROAD MEDICARE
12VN2193MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.