Richard J Provenzano, MD
Ophthalmology in Bennington, Vermont
1962456905- Practice location
- 322 Dewey St, Bennington, VT 05201-2225
- Phone
- 802-447-8700
- Fax
- 802-447-1500
- Last updated
- March 30, 2018
Richard Joseph Provenzano is an Ophthalmology based in Bennington, VT. Richard Joseph Provenzano practices in Bennington, VT and has the professional credentials of MD. The NPI Number for Richard Joseph Provenzano is 1962456905 and holds a License No. 45884 (MA). The current practice location address for Richard Joseph Provenzano is 322 Dewey St, Bennington, VT 05201-2225 and can be reached out via phone at 802-447-8700 and via fax at 802-447-1500.
Provider Profile Details
- NPI Number
- 1962456905
- Provider Name
- Richard Joseph Provenzano
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 322 Dewey St, Bennington, VT 05201-2225
- Phone Number
- 802-447-8700
- Fax Number
- 802-447-1500
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 22, 2006
- Last Update Date
- March 30, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 322 Dewey St
Bennington, VT 05201-2225 - City
- Bennington
- State
- Vermont
- Zip
- 05201-2225
- Phone Number
- 802-447-8700
- Fax Number
- 802-447-1500
Provider Business Mailing Address Details
- Address
- 322 Dewey St
Bennington, VT 05201-2225 - City
- Bennington
- State
- VT
- Zip
- 05201-2225
- Phone Number
- 802-447-8700
- Fax Number
- 802-447-1500
License Information
- License Number (1)
- 45884
- License State (1)
- MA
- Taxonomy (1)
- Ophthalmology · 207W00000X
- License Number (2)
- 042-0006501
- License State (2)
- VT
- Taxonomy (2)
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Ophthalmology providers near Bennington, VT
View all Ophthalmology providers in Bennington →Frequently Asked Questions
What is the NPI number of Richard J Provenzano, MD?
The NPI number of Richard J Provenzano, MD is 1962456905. It was assigned on May 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Richard J Provenzano, MD?
Richard J Provenzano, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in MA under license number 45884.
Where does Richard J Provenzano, MD practice?
The practice location is 322 Dewey St, Bennington, VT 05201-2225. The office can be reached at 802-447-8700 (phone) or 802-447-1500 (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 1962456905 directly on the NPPES registry website.