WHITE RIVER FAMILY EYECARE, PC (NPI# 1104878206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104878206 |
| Entity Type | Organization |
| Organization Name | WHITE RIVER FAMILY EYECARE, PC |
| Practice Address |
587 Hartford Ave White River Junction VT 05001-8031 |
| Practice Telephone | 8022954887 |
| Practice Fax Number | 8022955896 |
| Mailing Telephone | 8022954887 |
| Mailing Fax Number | 8022955896 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DR. EUGENE J BERNAL (PRESIDENT) |
| Authorized Official Telephone | 8022954887 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | VT030-0000220 | VT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1009878 | 05 |
| Street Address |
587 HARTFORD AVE |
| City | WHITE RIVER JUNCTION |
| State | VT |
| Zip Code | 05001-8031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508218249 | Shawn Patrick Morris | Optometrist | 587 Hartford Ave, White River Junction, VT 05001-8031 | 2016-07-06 |
| 1003267428 | Ran He | Optometrist | 587 Hartford Ave, White River Junction, VT 05001 | 2016-06-27 |
| 1134552755 | Nicholas A Pittman | Optometrist | 587 Hartford Ave, White River Junction, VT 05001-8031 | 2013-08-19 |
| 1598700924 | Sandra K. Dufour | Optometrist | 587 Hartford Ave, White River Junction, VT 05001-8031 | 2006-06-19 |
| 1902841380 | Eugene J. Bernal | Optometrist | 587 Hartford Ave, White River Junction, VT 05001-8031 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071674 | Angela Norton | Dietitian, Registered | White River Junction Va, 163 Veterans Drive, White River Junction, VT 05001 | 2020-01-02 |
| 1295221687 | Arielle Courtney Strickland | Behavioral Analyst | 91 Farmvu Dr, White River Junction, VT 05001 | 2018-07-09 |
| 1639544075 | Maureen D Bogosian | Counselor | 211 North Main St, White River, VT 05001 | 2015-12-10 |
| 1104254515 | Peter David Tenenbaum | Social Worker | 67 Raymond Circle, White River Junction, VT 05001 | 2013-10-22 |
| 1124311493 | Amber J Leavitt | Counselor | 226 Holiday Dr Ste 21, White River Junction, VT 05001 | 2011-05-19 |
| 1083820963 | Eileen Frances Lanza | Counselor | 3 Palmer Court, White River Junction, VT 05001 | 2007-05-15 |
| 1841337912 | Carol B. Collier | Counselor | 5 Palmer Court, White River Junction, VT 05001 | 2007-01-30 |
| 1174682041 | Mark G Koch | Marriage & Family Therapist | 1011 N. Main St. #21, White River Junction, VT 05001 | 2006-12-07 |
| 1518032564 | White River Family Practice PC | Family Medicine | 331 Olcott Drive, Suite U3, White River Jct, VT 05001 | 2006-11-22 |
| 1396818100 | Richard Sandford Zubarik | Internal Medicine | Smith 212-fletcher Allen Health Care, Colchester Avenue, Burlington, VT 05001 | 2006-11-17 |
| Find all providers in zip 05001 | ||||
| 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 |
|---|---|---|---|---|
| 1568085744 | Timothy Wiseth | Optometrist | 163 Veterans Dr Eye Clinic, White River Junction, VT 05009-0001 | 2020-05-22 |
| 1689830929 | Andrea L Murphy | Optometrist | 215 North Main Street, Desk 100 (112), Department of Veteran Affairs, White River Junction, VT 05009 | 2008-08-06 |
| 1114115821 | Justin Michael Cole | Optometrist | White River Junction Va Medical Center Desk 100-112, 215 N. Main Street, White River Junction, VT 05009 | 2007-10-09 |
| 1710587340 | Hamza Zafar Dar | Optometrist | 215 N Main St, White River Junction, VT 05009-0001 | 2020-11-01 |
| 1760081517 | Alaina Short | Optometrist | 163 Veterans Drive, White River Junction, VT 05009-0001 | 2020-10-22 |
| 1275188138 | Rachel Ray Murtiff | Optometrist | 163 Veterans Drive, White River Junction, VT 05009-0001 | 2019-08-07 |
| 1841790326 | Junction Eye Center LLC | Optometrist | 155 Maple St, White River Junction, VT 05001-7029 | 2018-02-20 |
| 1508218249 | Shawn Patrick Morris | Optometrist | 587 Hartford Ave, White River Junction, VT 05001-8031 | 2016-07-06 |
| 1003267428 | Ran He | Optometrist | 587 Hartford Ave, White River Junction, VT 05001 | 2016-06-27 |
| 1649699083 | Alyssa Fasano | Optometrist | 215 N Main St, White River Junction, VT 05009-0001 | 2014-04-14 |
| Find all providers in WHITE RIVER JUNCTION | ||||
| City | WHITE RIVER JUNCTION |
| Zip Code | 05001 |
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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.