| 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 | 31 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 | 10 |
| Entity Name | Advanced Eyecare Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790739340 PECOS PAC ID: 1052301546 Enrollment ID: O20080626000070 |
| 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 |