DR. NICHOLAS PAUL MARCONI O.D. NPI 1417083577

NPI Information

  • NPI: 1417083577
  • Provider Name: DR. NICHOLAS PAUL MARCONI, O.D.
  • Classification: Optometrist - 152WC0802X
  • Specialization: Corneal and Contact Management
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 166 SYCAMORE ST
    SUITE 150
    WILLISTON, VT
    ZIP 05495
  • Phone: (802) 872-7447

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NPI Details

DR. Nicholas Paul Marconi, O.D. is a corneal and contact management optometrist in Williston, VT with 40 years of experience. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Nicholas Paul Marconi, O.D. NPI is 1417083577. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduation Year:1985

The provider's business location address is:

166 SYCAMORE ST
SUITE 150
WILLISTON, VT
ZIP 05495-217
Phone: (802) 872-7447
Fax: (802) 872-7448

The NPI 1417083577 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/25/2007 and was last updated on 11/29/2011.

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
1152W00000XOptometrist030-0000260VERMONTNo
2152WC0802XOptometristCorneal and Contact Management030-0000260VERMONTYes

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
1VT0260OTHERVERMONTEYEMED PROVIDER ID NUMBER
2T91451MEDICARE UPINVERMONT
3VN1274MEDICARE ID-TYPE UNSPECIFIED
4127402MEDICARE PINVERMONT
5030-0000260OTHERVERMONTLICENSE NUMBER
6502217OTHERVERMONTARBO OE NUMBER

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: 3/30/2025

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