SPECIALEYES PROFESSIONAL EYE CARE SERVICES, PLLC (NPI# 1790917102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790917102 |
| Entity Type | Organization |
| Organization Name | SPECIALEYES PROFESSIONAL EYE CARE SERVICES, PLLC |
| Other Organization Name | PEAK VIEW EYE CARE |
| Practice Address |
27 Main St Vergennes VT 05491-1113 |
| Practice Telephone | 8028772422 |
| Practice Fax Number | 8028771124 |
| Mailing Telephone | 8028772422 |
| Mailing Fax Number | 8028771124 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | DR. ROBERT BALDWIN AUSTIN (PRESIDENT/MEMBER) |
| Authorized Official Telephone | 8028772422 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 030-0000292 | VT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BC BS OF VERMONT | 1790917102 | 01 |
| VT | MEDICARE PTAN | 0000013132 | 01 |
| VT | MVP | 200072249 | 01 |
| Other Name | Type Code |
|---|---|
| Peak View Eye Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | SPECIALEYES PROFESSIONAL EYE CARE SERVICES, PLLC | 27 Main Street, Vergennes, VT 05491 |
| Street Address |
27 MAIN ST |
| City | VERGENNES |
| State | VT |
| Zip Code | 05491-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659372696 | Robert B Austin | Optometrist | 27 Main St, Vergennes, VT 05491-1113 | 2005-08-01 |
| 1679689491 | Melvin W Simmons | Optometrist | 27 Main St, Vergennes, VT 05491-1113 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326699760 | Elizabeth Ann Grant | Registered Nurse | 1218 Rte 17e, Enter Your Mailing Addres, Addison, VT 05491 | 2019-09-26 |
| 1073988812 | Anna Becker | Physical Therapy Assistant | 1355 Route 22a, Panton, VT 05491 | 2015-12-04 |
| 1437309564 | Heather Brown Kidde | Advanced Practice Midwife | 20 Armory Lane, Vergennes, VT 05491 | 2008-09-25 |
| 1497833495 | Gregory C Maurer Dds PC | Dentist | 46 New Haven Road, Vergennes, VT 05491 | 2006-11-01 |
| 1053428235 | Kph Healthcare Services, Inc. | Pharmacy | 115b Monkton Rd, Vergennes, VT 05491 | 2006-08-24 |
| 1255357265 | Robert Joel Frank | Dentist | 23 South Water Street, Vergennes, VT 05491 | 2006-07-14 |
| 1750346326 | Donald Bruce Robinson | Family Medicine | 10 North Street, Little City Family Practice, Vergennes, VT 05491 | 2006-04-18 |
| 1114269503 | Catherine Anne Ayers | Family Medicine | 10 North St, Vergennes, VT 05491 | 2013-03-23 |
| 1063643518 | Jennifer Sandra Kaufman | Family Medicine | 10 North Street, Lcfp, Vergennes, VT 05491 | 2009-07-31 |
| 1609018621 | Karen L Fromhold | General Practice | 10 North St, Vergennes, VT 05491 | 2009-04-06 |
| Find all providers in zip 05491 | ||||
| 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 |
|---|---|---|---|---|
| 1659372696 | Robert B Austin | Optometrist | 27 Main St, Vergennes, VT 05491-1113 | 2005-08-01 |
| 1679689491 | Melvin W Simmons | Optometrist | 27 Main St, Vergennes, VT 05491-1113 | 2006-08-22 |
| 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 | ||||
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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.