ADVANCED EYECARE PC – NPI #1790739340
Ophthalmology

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 is an ophthalmologist located in BENNINGTON, VT. NPPES has assigned the NPI number 1790739340 to ADVANCED EYECARE PC on May 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 6 years ago on Jul 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED EYECARE PC below.

NPI Profile for
ADVANCED EYECARE PC

NPI Number
1790739340
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED EYECARE PC
Primary location
322 DEWEY ST
BENNINGTON, VT 05201-2225
Phone: (802) 447-8700 Fax: (802) 447-1500
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TRACY NILES
PRACTICE ADMINISTRATOR
Phone: (802) 447-8700
Updated
Certification Date
Jul 21, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ADVANCED EYECARE PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERCDPHPMA1059
OTHERCDPHPVT1059
OTHERHNEMA1268
OTHERHNEVT1268
OTHERMABSMAM16004
OTHERMABSVTM16004
OTHERMVPMA200052887
OTHERMVPVT200052887
OTHERTUFTSMA614906
OTHERTUFTSVT614906
OTHERVTBSMAADVA318-19924
OTHERVTBSVTADVA318-19924
MEDICAIDMA110072172A
MEDICAIDNY01794247
MEDICAIDVTVN0966
MEDICAIDVTVT0949
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)
VT
152W00000X
- Optometrist
VT

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.