Eye Associates Of Northern New England, Llp | |
1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | |
(802) 748-8126 | |
(802) 748-2208 |
Full Name | Eye Associates Of Northern New England, Llp |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1290 Hospital Dr, St Johnsbury, Vermont |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659347508 | NPI | - | NPPES |
30212883 | Medicaid | NH | |
1010527 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Stephen J Phipps |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649265497 PECOS PAC ID: 7315938164 Enrollment ID: I20040520000451 |
Provider Name | Brian J Mawhinney |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467448613 PECOS PAC ID: 8628027109 Enrollment ID: I20050121000842 |
Provider Name | Joel R Tuite |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912107285 PECOS PAC ID: 0648366310 Enrollment ID: I20140210001612 |
Provider Name | Anthony P Borgognoni |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427097344 PECOS PAC ID: 5597881359 Enrollment ID: I20180815000341 |
Provider Name | David Paul Todd |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003020223 PECOS PAC ID: 6103880042 Enrollment ID: I20190117001243 |
Mailing Address | Practice Location Address |
---|---|
Eye Associates Of Northern New England, Llp 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 Ph: (802) 748-8126 | Eye Associates Of Northern New England, Llp 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 Ph: (802) 748-8126 |