NPI 1790739340 · live from the CMS NPI Registry
Advanced Eyecare PC
Ophthalmology in Bennington, VT. National Provider Identifier 1790739340, active.
NPI record
| NPI | 1790739340 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 322 Dewey St, Bennington, VT 05201 |
| Practice phone | 802-447-8700 |
| Enumerated | May 19, 2006 |
| Last updated | July 21, 2020 |
| Authorized official | Tracy Niles, Practice Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — (VT) |
| Ophthalmology | 207W00000X | — (MA) |
| Ophthalmology primary | 207W00000X | — (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.