Mad River Eye Care PLLC
Optometrist, Corneal and Contact Management in Waitsfield, Vermont
1538666235- Practice location
- 5274 Main St Ste 1, Waitsfield, VT 05673-4445
- Phone
- 802-730-5167
- Fax
- —
- Last updated
- April 9, 2018
Mad River Eye Care PLLC is a healthcare organization based in Waitsfield, VT. Mad River Eye Care PLLC practices in Waitsfield, VT. The NPI Number for Mad River Eye Care PLLC is 1538666235 and holds a License No. 030.0068209 (VT). The current practice location address for Mad River Eye Care PLLC is 5274 Main St Ste 1, Waitsfield, VT 05673-4445 and can be reached out via phone at 802-730-5167.
Provider Profile Details
- NPI Number
- 1538666235
- Provider Name
- Mad River Eye Care PLLC
- Provider Entity Type
- Organization
- Address
- 5274 Main St Ste 1, Waitsfield, VT 05673-4445
- Phone Number
- 802-730-5167
- Primary Taxonomy
- Optometrist, Corneal and Contact Management · 152WC0802X
- Organization Subpart
- No
- Authorized Official
- Dr. Shannon Hawkley Mitchell, OD · Member · 802-730-5167
- Provider Enumeration Date
- April 9, 2018
- Last Update Date
- April 9, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5274 Main St Ste 1
Waitsfield, VT 05673-4445 - City
- Waitsfield
- State
- Vermont
- Zip
- 05673-4445
- Phone Number
- 802-730-5167
Provider Business Mailing Address Details
- Address
- 731 Worcester Loop RD
Stowe, VT 05672-4326 - City
- Stowe
- State
- VT
- Zip
- 05672-4326
- Phone Number
- 802-730-5167
License Information
- License Number
- 030.0068209
- License State
- VT
- Taxonomy
- Optometrist, Corneal and Contact Management · 152WC0802X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mad River Eye Care PLLC?
The NPI number of Mad River Eye Care PLLC is 1538666235. It was assigned on April 9, 2018 and is currently active in the NPPES registry.
What is the specialty of Mad River Eye Care PLLC?
Mad River Eye Care PLLC is registered under the primary taxonomy Optometrist, Corneal and Contact Management (code 152WC0802X), licensed in VT under license number 030.0068209.
Where does Mad River Eye Care PLLC practice?
The practice location is 5274 Main St Ste 1, Waitsfield, VT 05673-4445. The office can be reached at 802-730-5167 (phone).
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 1538666235 directly on the NPPES registry website.