| 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 |
|---|---|
| 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 |
|---|---|---|---|
| 1538666235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 030.0068209 (Vermont) | Primary |
| Provider Name | Shannon Mitchell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144551797 PECOS PAC ID: 9032301825 Enrollment ID: I20101012000857 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |