| Eye Vermont Llc | |
|
100 Dorset St, Suite 25, South Burlington, VT 05403 | |
| (802) 863-3000 | |
| (802) 863-3001 |
| Full Name | Eye Vermont Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 100 Dorset St, South Burlington, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902853559 | NPI | - | NPPES |
| DF3986 | Other | VT | MEDICARE RAILROAD |
| 0VN3977 | Medicaid | VT | |
| EYEV00069292 | Other | BLUE SHIELD OF VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 315 (Vermont) | Primary |
| Provider Name | Vincent Devita |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427005826 PECOS PAC ID: 3678485810 Enrollment ID: I20031105000222 |
| Provider Name | Joseph Obrien |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285637249 PECOS PAC ID: 1951395276 Enrollment ID: I20040412000145 |
| Provider Name | Julie A Devita |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376702977 PECOS PAC ID: 4082755566 Enrollment ID: I20120307000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Vermont Llc 100 Dorset St, Suite 25, South Burlington, VT 05403-6241 Ph: (802) 863-3000 | Eye Vermont Llc 100 Dorset St, Suite 25, South Burlington, VT 05403 Ph: (802) 863-3000 |
Dr. Jeremy Thomas Whitney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 150 Dorset St Ste 250, South Burlington, VT 05403 Phone: 802-497-0338 Fax: 802-497-2963 | |
Dr. John Gerard Martell, OPTOMETRIST Optometrist Medicare: Not Enrolled in Medicare Practice Location: 155 Dorset St, University Mall, South Burlington, VT 05403 Phone: 802-863-3062 Fax: 802-863-6100 | |
Champlain Eye And Vision Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 150 Dorset St Ste 250, South Burlington, VT 05403 Phone: 802-497-0338 Fax: 802-497-2963 | |
Randie Jean Willand, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 155 Dorset St, South Burlington, VT 05403 Phone: 802-863-3062 Fax: 802-863-6100 | |
Dr. Joseph Philip O'brien, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Dorset St, Ste # 25, South Burlington, VT 05403 Phone: 802-863-3000 Fax: 802-863-3001 | |
John Martell And Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 155 Dorset St, University Mall, South Burlington, VT 05403 Phone: 802-863-3062 Fax: 802-863-6100 | |
Dr. Vincent J Devita, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 Dorset St, Suite 25, South Burlington, VT 05403 Phone: 802-863-3000 Fax: 802-863-3001 |