Michael Thomas Porter, OD | |
322 Dewey St, Bennington, VT 05201-2225 | |
(802) 447-8700 | |
(802) 447-1500 |
Full Name | Michael Thomas Porter |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 35 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 |
---|---|---|---|
1043258262 | NPI | - | NPPES |
59302 | Other | VT | VTBS |
01793535 | Medicaid | NY | |
10001635 | Other | VT | CDPHP |
1003221 | Medicaid | VT | |
000000024113 | Other | VT | BMC |
VT0007103 | Other | VT | TRICARE |
59117 | Other | VT | MVP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 030-0000250 (Vermont) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Eyecare Pc | 1052301546 | 9 |
Provider Name | Advanced Eyecare Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790739340 PECOS PAC ID: 1052301546 Enrollment ID: O20071130000355 |
Mailing Address | Practice Location Address |
---|---|
Michael Thomas Porter, OD 322 Dewey St, Bennington, VT 05201-2225 Ph: (802) 447-8700 | Michael Thomas Porter, OD 322 Dewey St, Bennington, VT 05201-2225 Ph: (802) 447-8700 |
Paula Laroche, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 322 Dewey St, Bennington, VT 05201 Phone: 802-447-8700 Fax: 802-447-1500 | |
Bennington Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 463 Main St, Bennington, VT 05201 Phone: 802-442-0781 Fax: 802-442-0791 | |
Dr. Alexander Athan Tenentes, OD Optometrist Medicare: Medicare Enrolled Practice Location: 168 North St, Bennington, VT 05201 Phone: 802-442-2115 Fax: 802-442-2115 | |
Advanced Eyecare Pc Optometrist Medicare: Medicare Enrolled Practice Location: 322 Dewey St, Bennington, VT 05201 Phone: 802-447-8700 Fax: 802-447-1500 |