Erik William Niemi, DO | |
322 Dewey St, Bennington, VT 05201-2225 | |
(802) 447-8700 | |
(802) 447-1500 |
Full Name | Erik William Niemi |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 30 Years |
Location | 322 Dewey St, Bennington, Vermont |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194772491 | NPI | - | NPPES |
110035290A | Medicaid | MA | |
10078138 | Other | VT | CDPHP |
59731 | Other | VT | VT BS |
J26902 | Other | VT | MASS BS |
J26902 | Other | MA | MASS BS |
364148 | Other | MA | MVP |
59731 | Other | MA | VTBS |
1010090 | Medicaid | VT | |
000000027329 | Other | VT | BMC |
467617 | Other | MA | TUFTS |
467617 | Other | VT | TUFTS |
000000027330 | Other | MA | BMC |
10078138 | Other | MA | CDPHP |
33621 | Other | VT | HNE |
364148 | Other | VT | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 219513 (Massachusetts) | Secondary |
207W00000X | Ophthalmology | 042-0007142 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwestern Vermont Medical Center | Bennington, VT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Eyecare Pc | 1052301546 | 9 |
Entity Name | Advanced Eyecare Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790739340 PECOS PAC ID: 1052301546 Enrollment ID: O20040517000358 |
Mailing Address | Practice Location Address |
---|---|
Erik William Niemi, DO 322 Dewey St, Bennington, VT 05201-2225 Ph: (802) 447-8700 | Erik William Niemi, DO 322 Dewey St, Bennington, VT 05201-2225 Ph: (802) 447-8700 |
Stuart Michael Duboff, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 322 Dewey St, Bennington, VT 05201 Phone: 802-447-8700 Fax: 802-447-1500 | |
Dr. John Joseph Lapenta, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 322 Dewey St, Bennington, VT 05201 Phone: 802-447-8700 Fax: 802-447-1500 | |
Richard Joseph Provenzano, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 322 Dewey St, Bennington, VT 05201 Phone: 802-447-8700 Fax: 802-447-1500 |