NPI 1285672501 · live from the CMS NPI Registry
P Brian Machanic, MD
Ophthalmology in Saint Albans, VT. National Provider Identifier 1285672501, active.
NPI record
| NPI | 1285672501 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 156 N Main St, Saint Albans, VT 05478 |
| Practice phone | 802-527-7787 |
| Mailing address | 4601 Mt Philo Rd, Charlotte, VT 05445 |
| Enumerated | June 2, 2006 |
| Last updated | May 16, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 0420008124 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.