Mad River Eye Care Pllc | |
5274 Main St Ste 1, Waitsfield, VT 05673-4445 | |
(802) 730-5167 | |
Not Available |
Full Name | Mad River Eye Care Pllc |
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Type | Facility |
Speciality | Optometrist - Corneal And Contact Management |
Location | 5274 Main St Ste 1, Waitsfield, Vermont |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1538666235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152WC0802X | Optometrist - Corneal And Contact Management | 030.0068209 (Vermont) | Primary |
Provider Name | Shannon Mitchell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144551797 PECOS PAC ID: 9032301825 Enrollment ID: I20101012000857 |
Mailing Address | Practice Location Address |
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Mad River Eye Care Pllc 731 Worcester Loop Rd, Stowe, VT 05672-4326 Ph: (802) 730-5167 | Mad River Eye Care Pllc 5274 Main St Ste 1, Waitsfield, VT 05673-4445 Ph: (802) 730-5167 |
Dr. Shannon Hawkley Mitchell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5274 Main St Ste 1, Waitsfield, VT 05673 Phone: 802-448-6988 Fax: 802-496-9500 | |
Morgan Mcclintic, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5274 Main St Ste 1, Waitsfield, VT 05673 Phone: 802-448-6988 |