DR. NICHOLAS PAUL MARCONI (NPI# 1417083577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417083577 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS PAUL MARCONI |
| Credential | O.D. |
| Practice Address |
166 Sycamore St Suite 150 Williston VT 05495-8217 |
| Practice Telephone | 8028727447 |
| Practice Fax Number | 8028727448 |
| Mailing Telephone | 8028727447 |
| Mailing Fax Number | 8028727448 |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2011-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 030-0000260 | VT | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
030-0000260 | VT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | LICENSE NUMBER | 030-0000260 | 01 |
| VT | EYEMED PROVIDER ID NUMBER | VT0260 | 01 |
| VT | ARBO OE NUMBER | 502217 | 01 |
| Street Address |
166 SYCAMORE ST SUITE 150 |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495-8217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399159 | Williston Vision Repair PC | Optometrist | 166 Sycamore St, Suite 150, Williston, VT 05495-8217 | 2009-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861582264 | Robert Charles Bauman | Optometrist | 166 S Main St, Stowe, VT 05672-4679 | 2006-10-14 |
| 1427160753 | Charles Alan Miranda | Optometrist | 927 Ethan Allen Highway, Suite 4, Georgia, VT 05468-9746 | 2006-08-31 |
| 1699793430 | Richard Delbianco | Optometrist | 69 Allen St Ste 12, Rutland, VT 05701-4564 | 2006-07-18 |
| 1538666235 | Mad River Eye Care Pllc | Optometrist | 5274 Main St Ste 1, Waitsfield, VT 05673-4445 | 2018-04-09 |
| 1083028468 | Green Mountain Eye Care PC | Optometrist | 530 Washington Hwy, Morrisville, VT 05661-8715 | 2014-06-13 |
| 1114274818 | David H. Garbutt, Od Faao, LLC | Optometrist | 530 Washington Hwy, Morrisville, VT 05661-8715 | 2012-08-13 |
| 1922193242 | Frank Robert Aquistapace Jr. | Optometrist | 62 Woodstock Ave, Rutland, VT 05701-3534 | 2006-10-03 |
| 1194826289 | Francis L Pinard | Optometrist | 124 E Main St, Ste #1, Newport, VT 05855-5229 | 2006-09-25 |
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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.