SOARES OCULAR SURGERY (NPI# 1154451300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154451300 |
| Entity Type | Organization |
| Organization Name | SOARES OCULAR SURGERY |
| Practice Address |
124 Meadow Ln Randolph VT 05060-8952 |
| Practice Telephone | 8027282460 |
| Practice Fax Number | 8027282457 |
| Mailing Telephone | 8027282460 |
| Mailing Fax Number | 8027282457 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | DR. CHRIS J. SOARES (PRESIDENT) |
| Authorized Official Telephone | 8027282460 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
042-0008693 | VT | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | SOARES OCULAR SURGERY, P.C. | 43 Skyview Road, Randolph Ctr., VT 05061 |
| Street Address |
124 MEADOW LN |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060-8952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356393979 | Christopher John Soares | Ophthalmology | 124 Meadow Ln, Randolph, VT 05060-8952 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| Find all providers in zip 05060 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255416053 | Ophthalmic Consultants of Vermont PC | Clinic/Center | 55 Timber Ln, South Burlington, VT 05403-5201 | 2006-10-27 |
| 1578511945 | Juli A Larson PC Vermont Eye Associates | Clinic/Center | 1100 Hinesburg Rd, Suite 201, South Burlington, VT 05403-7613 | 2006-05-05 |
Please comment or provide details below to improve the information on SOARES OCULAR SURGERY.
| 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.