RICHARD JOSEPH PROVENZANO M.D. NPI 1962456905

NPI Information

NPI: 1962456905
Provider Name: RICHARD JOSEPH PROVENZANO, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
322 DEWEY ST
BENNINGTON, VT
ZIP 05201
Phone: (802) 447-8700
Get Directions

Richard Joseph Provenzano, M.D. is an ophthalmology in Bennington, VT. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Richard Joseph Provenzano, M.D. NPI is 1962456905. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

322 DEWEY ST
BENNINGTON, VT
ZIP 05201-225
Phone: (802) 447-8700
Fax: (802) 447-1500

The enumeration date for this NPI number is 5/22/2006 and was last updated on 3/30/2018.

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
1	207W00000X	Ophthalmology		45884	MASSACHUSETTS	No
2	207W00000X	Ophthalmology		042-0006501	VERMONT	Yes

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
1	17155	OTHER	VERMONT	MVP
2	I19054	OTHER	VERMONT	MABS
3	000000024109	OTHER	MASSACHUSETTS	BMC
4	10001651	OTHER	VERMONT	CDPHP
5	15622	OTHER	VERMONT	15622
6	15622	OTHER	MASSACHUSETTS	HNE
7	I19054	OTHER	MASSACHUSETTS	MABS
8	00461192	MEDICAID	NEW YORK
9	110000678A	MEDICAID	MASSACHUSETTS
10	VT5144	OTHER	VERMONT	VTBS
11	17155	OTHER	MASSACHUSETTS	MVP
12	10001651	OTHER	MASSACHUSETTS	CDPHP
13	000000024110	OTHER	VERMONT	BMC
14	0005144	MEDICAID	VERMONT

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

NPI Synchronization or Removal

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