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ADVANCED EYECARE PC NPI 1790739340


NPI Information

NPI: 1790739340
Provider Name: ADVANCED EYECARE PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
322 DEWEY ST
BENNINGTON, VT
ZIP 05201
Phone: (802) 447-8700
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ADVANCED EYECARE PC 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. ADVANCED EYECARE PC NPI is 1790739340. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

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

The provider's authorized official is Tracy Niles .
The authorized official title is Practice Administrator and has the following contact phone number (802) 447-8700.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 7/21/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristVERMONTNo
2207W00000XOphthalmologyMASSACHUSETTSNo
3207W00000XOphthalmologyVERMONTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11268OTHERMASSACHUSETTSHNE
2ADVA318-19924OTHERVERMONTVTBS
3110072172AMEDICAIDMASSACHUSETTS
41268OTHERVERMONTHNE
5200052887OTHERVERMONTMVP
6ADVA318-19924OTHERMASSACHUSETTSVTBS
71059OTHERMASSACHUSETTSCDPHP
8200052887OTHERMASSACHUSETTSMVP
9614906OTHERMASSACHUSETTSTUFTS
101059OTHERVERMONTCDPHP
11M16004OTHERVERMONTMABS
12M16004OTHERMASSACHUSETTSMABS
13VN0966MEDICAIDVERMONT
1401794247MEDICAIDNEW YORK
15614906OTHERVERMONTTUFTS
16VT0949MEDICAIDVERMONT

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: 11/14/2023

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.