Active NPIIndividual provider

Mr. Jon D Eriksson, OD

Optometrist in Essex Jct, Vermont

NPI Number1144286956
Practice location
77 B Pearl St, Essex Jct, VT 05452
Fax
802-879-1350
Last updated
August 29, 2011

Jon D Eriksson is an Optometrist based in Essex Jct, VT. Jon D Eriksson practices in Essex Jct, VT and has the professional credentials of OD. The NPI Number for Jon D Eriksson is 1144286956 and holds a License No. 0300000265 (VT). The current practice location address for Jon D Eriksson is 77 B Pearl St, Essex Jct, VT 05452 and can be reached out via phone at 802-878-5509 and via fax at 802-879-1350.

Provider Profile Details

NPI Number
1144286956
Provider Name
Jon D Eriksson
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
77 B Pearl St, Essex Jct, VT 05452
Phone Number
802-878-5509
Fax Number
802-879-1350
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
April 21, 2006
Last Update Date
August 29, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 B Pearl St
Essex Jct, VT 05452
State
Vermont
Zip
05452
Phone Number
802-878-5509
Fax Number
802-879-1350
Essex Jct, VT 05452Get directions →

Provider Business Mailing Address Details

Address
Po Box 14
Essex Jct, VT 05453
City
Essex Jct
State
VT
Zip
05453
Phone Number
802-878-5509
Fax Number
802-879-1350

License Information

License Number
0300000265
License State
VT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jon D Eriksson, OD?

The NPI number of Mr. Jon D Eriksson, OD is 1144286956. It was assigned on April 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Jon D Eriksson, OD?

Mr. Jon D Eriksson, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in VT under license number 0300000265.

Where does Mr. Jon D Eriksson, OD practice?

The practice location is 77 B Pearl St, Essex Jct, VT 05452. The office can be reached at 802-878-5509 (phone) or 802-879-1350 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144286956 directly on the NPPES registry website.

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