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SHIPPEE FAMILY EYE CARE PC NPI 1023407467


NPI Information

NPI: 1023407467
Provider Name: SHIPPEE FAMILY EYE CARE PC

Doing Business As: DBA OPTICAL EXPRESSIONS

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 47D2107362

Address:
468 HOSPITAL DR
ST JOHNSBURY, VT
ZIP 05819
Phone: (802) 748-3536
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SHIPPEE FAMILY EYE CARE PC is an optometrist in St Johnsbury, 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. SHIPPEE FAMILY EYE CARE PC NPI is 1023407467. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dba Optical Expressions.

The provider's business location address is:

468 HOSPITAL DR
ST JOHNSBURY, VT
ZIP 05819-225
Phone: (802) 748-3536
Fax: (802) 748-4838

The provider's authorized official is Samuel P Shippee .
The authorized official title is Owner/authorized Official and has the following contact phone number (603) 788-3561.

The CLIA number assigned to this NPI record is 47D2107362 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2015 and was last updated on 9/3/2021.


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
1152W00000XOptometrist300000331VERMONTYes

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
11016148MEDICAIDVERMONT

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.