SHIPPEE FAMILY EYE CARE PC (NPI# 1023407467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023407467 |
| Entity Type | Organization |
| Organization Name | SHIPPEE FAMILY EYE CARE PC |
| Other Organization Name | DBA OPTICAL EXPRESSIONS |
| Practice Address |
468 Hospital Dr St Johnsbury VT 05819-9225 |
| Practice Telephone | 8027483536 |
| Practice Fax Number | 8027484838 |
| Mailing Telephone | 8027483536 |
| Mailing Fax Number | 8027484838 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | DR. SAMUEL P SHIPPEE (OWNER/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6037883561 |
| Authorized Official Credential | OD |
| Is Organization Subpart | Y |
| Parent Organization Name | SHIPPEE FAMILY EYE CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 300000331 | VT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1016148 | 05 |
| Other Name | Type Code |
|---|---|
| DBA Optical Expressions | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| Street Address |
468 HOSPITAL DR |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962517292 | Richard L. Leven | Optometrist | 468 Hospital Dr, St Johnsbury, VT 05819-9225 | 2006-08-19 |
| 1356963391 | Kyle Klug | Optometrist | 468 Hospital Dr, St Johnsbury, VT 05819-9225 | 2020-05-13 |
| 1144741992 | Eric Guelette | Optometrist | 468 Hospital Dr, St Johnsbury, VT 05819 | 2017-07-02 |
| 1548780133 | Molly Joan King Gove | Optometrist | 468 Hospital Dr, St Johnsbury, VT 05819-9225 | 2017-06-23 |
| 1790822179 | Karena Shippee | Optometrist | 468 Hospital Dr, St Johnsbury, VT 05819-9225 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962517292 | Richard L. Leven | Optometrist | 468 Hospital Dr, St Johnsbury, VT 05819-9225 | 2006-08-19 |
| 1356963391 | Kyle Klug | Optometrist | 468 Hospital Dr, St Johnsbury, VT 05819-9225 | 2020-05-13 |
| 1144741992 | Eric Guelette | Optometrist | 468 Hospital Dr, St Johnsbury, VT 05819 | 2017-07-02 |
| 1548780133 | Molly Joan King Gove | Optometrist | 468 Hospital Dr, St Johnsbury, VT 05819-9225 | 2017-06-23 |
| 1811203847 | Jill Ganch | Optometrist | 2000 Memorial Dr, Suite 6, St Johnsbury, VT 05819-8321 | 2010-08-27 |
| 1790822179 | Karena Shippee | Optometrist | 468 Hospital Dr, St Johnsbury, VT 05819-9225 | 2007-02-01 |
| 1053492850 | Optical Expressions, Inc. | Optometrist | 2000 Memorial Dr, Suite 6, St Johnsbury, VT 05819-8321 | 2006-10-18 |
| 1659347508 | Eye Associates of Northern New England, LLP | Optometrist | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2006-02-28 |
| 1467448613 | Brian J Mawhinney | Optometrist | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2005-09-23 |
| 1649266149 | Paul M Lindstrom | Optometrist | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2005-09-21 |
| Find all providers in ST JOHNSBURY | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on SHIPPEE FAMILY EYE CARE PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.