- Practice location
- 1593 Vermont Route 107, Bethel, VT 05032-4456
- Phone
- 802-234-9728
- Fax
- 802-234-9728
- Last updated
- May 8, 2023
Luben Metodiev Ikonomov is an Optometrist based in Bethel, VT. Luben Metodiev Ikonomov practices in Bethel, VT and has the professional credentials of OD. The NPI Number for Luben Metodiev Ikonomov is 1215626015 and holds a License No. 030.0133986 (VT). The current practice location address for Luben Metodiev Ikonomov is 1593 Vermont Route 107, Bethel, VT 05032-4456 and can be reached out via phone at 802-234-9728 and via fax at 802-234-9728.
Provider Profile Details
- NPI Number
- 1215626015
- Provider Name
- Luben Metodiev Ikonomov
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1593 Vermont Route 107, Bethel, VT 05032-4456
- Phone Number
- 802-234-9728
- Fax Number
- 802-234-9728
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 5, 2023
- Last Update Date
- May 8, 2023
- Certification Date
- May 8, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1593 Vermont Route 107
Bethel, VT 05032-4456 - City
- Bethel
- State
- Vermont
- Zip
- 05032-4456
- Phone Number
- 802-234-9728
- Fax Number
- 802-234-9728
Provider Business Mailing Address Details
- Address
- 1593 Vermont Route 107
Bethel, VT 05032-4456 - City
- Bethel
- State
- VT
- Zip
- 05032-4456
- Phone Number
- 802-234-9728
- Fax Number
- 802-234-9728
License Information
- License Number
- 030.0133986
- License State
- VT
- Taxonomy
- Optometrist · 152W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrists near Bethel, VT
View all Optometrists in Bethel →Frequently Asked Questions
What is the NPI number of Dr. Luben M Ikonomov, OD?
The NPI number of Dr. Luben M Ikonomov, OD is 1215626015. It was assigned on May 5, 2023 and is currently active in the NPPES registry.
What is the specialty of Dr. Luben M Ikonomov, OD?
Dr. Luben M Ikonomov, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in VT under license number 030.0133986.
Where does Dr. Luben M Ikonomov, OD practice?
The practice location is 1593 Vermont Route 107, Bethel, VT 05032-4456. The office can be reached at 802-234-9728 (phone) or 802-234-9728 (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 1215626015 directly on the NPPES registry website.