MICHAEL THOMAS PORTER (NPI# 1043258262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043258262 |
| Entity Type | Individual |
| Full Name | MICHAEL THOMAS PORTER |
| Credential | O.D. |
| Practice Address |
322 Dewey St Bennington VT 05201-2225 |
| Practice Telephone | 8024478700 |
| Practice Fax Number | 8024471500 |
| Mailing Telephone | 8024478700 |
| Mailing Fax Number | 8024471500 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 030-0000250 | VT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01793535 | 05 | |
| VT | MVP | 59117 | 01 |
| VT | VTBS | 59302 | 01 |
| VT | CDPHP | 10001635 | 01 |
| VT | 1003221 | 05 | |
| VT | TRICARE | VT0007103 | 01 |
| VT | BMC | 000000024113 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1437660347 | Michael Joseph Porter II | Chiropractor | 29100 Gateway Blvd Ste 100, Flat Rock, MI 48134-2764 | 2017-10-18 |
| 1194180208 | Michael Porter II | Registered Nurse | 2632a N Bartlett Ave, Milwaukee, WI 53211-3501 | 2015-12-17 |
| 1326468034 | Michael Angelo Porter Sr. | Counselor | 3648 S Bonita St., Spring Valley, CA 91977 | 2014-04-21 |
| 1023358694 | Michael Edgar Porter | Counselor | 57 South Main, Loa, UT 84747 | 2013-02-19 |
| 1437438934 | Michael Porter | Counselor | 790 Frank Cochran Dr Ste 111, Hinesville, GA 31313-3991 | 2011-08-15 |
| 1316240658 | Michael Porter | Social Worker | 900 Cummings Ctr Ste 416t, Beverly, MA 01915-6184 | 2010-12-08 |
| 1851541270 | Michael Lawrence Porter | Physician Assistant | 6752 Brittany Park Ct, North Richland Hills, TX 76182-3823 | 2008-09-22 |
| 1588747695 | Michael Lewis Porter | Pharmacist | 1337a S Irby St, Florence, SC 29505 | 2006-10-23 |
| 1992888770 | Michael Shawn Porter | Specialist/Technologist | 401 Susquehanna Ave, Lock Haven University, Lock Haven, PA 17745 | 2006-10-23 |
| Street Address |
322 DEWEY ST |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790739340 | Advanced Eyecare PC | Optometrist | 322 Dewey St, Bennington, VT 05201-2225 | 2006-05-19 |
| 1821036088 | John Joseph Lapenta | Ophthalmology | 322 Dewey St, Bennington, VT 05201-2225 | 2006-06-02 |
| 1194772491 | Erik William Niemi | Ophthalmology | 322 Dewey St, Bennington, VT 05201-2225 | 2006-05-30 |
| 1669427407 | Paula Laroche | Optometrist | 322 Dewey St, Bennington, VT 05201-2225 | 2006-05-23 |
| 1962456905 | Richard Joseph Provenzano | Ophthalmology | 322 Dewey St, Bennington, VT 05201-2225 | 2006-05-22 |
| 1417901356 | Stuart Michael Duboff | Ophthalmology | 322 Dewey St, Bennington, VT 05201-2225 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| 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 |
|---|---|---|---|---|
| 1568516342 | Shannon Elwood | Optometrist | 8013 N 164th St, Bennington, NE 68007-5569 | 2007-01-22 |
| 1790739340 | Advanced Eyecare PC | Optometrist | 322 Dewey St, Bennington, VT 05201-2225 | 2006-05-19 |
| 1780674325 | Alexander Athan Tenentes | Optometrist | 168 North St, Bennington, VT 05201-1874 | 2005-10-25 |
| 1669427407 | Paula Laroche | Optometrist | 322 Dewey St, Bennington, VT 05201-2225 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790308872 | Alessandra Keely Conner | Optometrist | 100 Dorset St Ste 25, South Burlington, VT 05403-6241 | 2020-05-22 |
| 1568085744 | Timothy Wiseth | Optometrist | 163 Veterans Dr Eye Clinic, White River Junction, VT 05009-0001 | 2020-05-22 |
| 1205455847 | Hannah Glezen Calvelli | Optometrist | 386 Acorn Ln, Shelburne, VT 05482-6390 | 2020-04-14 |
| 1891224069 | Sean Francis Pinard | Optometrist | 124 E Main St Ste 1, Newport, VT 05855-5561 | 2017-06-09 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1053794123 | Laura Lynn Werner | Optometrist | 5399 Williston Rd Ste 102, Williston, VT 05495-5321 | 2015-07-07 |
| 1033546304 | Catherine Teresa Vishton | Optometrist | 1248 Waterbury Rd, Stowe, VT 05672-4658 | 2013-10-02 |
| 1609186170 | Milton Family Eyecare | Optometrist | 16 Railroad St, Essex Junction, VT 05452-3779 | 2010-10-18 |
| 1144551797 | Shannon Hawkley Mitchell | Optometrist | 5274 Main St Ste 1, Waitsfield, VT 05673-4445 | 2010-01-21 |
| 1518296748 | Eyecare for You, PC | Optometrist | 1593 Vt Rt 107, Bethel, VT 05032 | 2009-12-17 |
| Find all providers with the same taxonomy | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
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| 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.