Advanced Eyecare PC
Ophthalmology in Bennington, VT. Organization (NPI-2).
Details
- NPI
- 1790739340
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Eyecare PC
- Organization subpart
- No
- Enumeration date
- May 19, 2006
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | VT | Yes |
| 152W00000X | Optometrist | – | VT | |
| 207W00000X | Ophthalmology | – | MA |
Practice location
322 Dewey StBennington, VT 05201-2225
Phone 802-447-8700 · Fax 802-447-1500
Mailing address
322 Dewey StBennington, VT 05201-2225
Phone 802-447-8700 · Fax 802-447-1500
Authorized official
Tracy Niles
Practice Administrator
8024478700
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Ophthalmology Physician providers in Bennington, VT
- Stuart Michael Duboff, M.D.NPI 1417901356
- John Joseph Lapenta, MDNPI 1821036088
- Erik William Niemi, D.O.NPI 1194772491
- Richard Joseph Provenzano, M.D.NPI 1962456905
- Brett Lowell Smith, MDNPI 1689939795
All 6 Ophthalmology Physician providers in Bennington · All 670 providers in Bennington
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