Advanced Eyecare Pc

LBN: Advanced Eyecare Pc
Advanced Eyecare Pc is an health care organization with primary practice located at 322 Dewey St , Bennington VT 05201-2225. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Advanced Eyecare Pc can be contacted via phone (802) 447-8700, or through Niles, Tracy via phone (802) 447-8700.

Contact Information

Primary practice address
322 Dewey St Bennington VT 05201-2225
Phone: (802) 447-8700
Fax: (802) 447-1500
Website:
Map and Directions
Authorized official contact:
Name: Niles, Tracy
Phone: (802) 447-8700

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Vermont
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Vermont
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Massachusetts

Profile Details

NPI number 1790739340
LBN Legal business name Advanced Eyecare Pc
DBA Doing business as
Authorized official Niles, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2006
Last updated Jul 21st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790739340 NPPES
Massachusetts MEDICAID 110072172A
Massachusetts Other ADVA318-19924
Massachusetts Other ADVA318-19924
Massachusetts Other M16004
Massachusetts Other M16004
Massachusetts MEDICAID VN0966
Massachusetts Other 1059
Massachusetts Other 200052887
Massachusetts Other 614906
Massachusetts MEDICAID 01794247
Massachusetts Other 1268
Massachusetts Other 1059
Massachusetts Other 1268
Massachusetts Other 200052887
Massachusetts MEDICAID VT0949
Massachusetts Other 614906

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