Mad River Eye Care Pllc

LBN: Mad River Eye Care Pllc
Mad River Eye Care Pllc is an health care organization with primary practice located at 5274 Main St Ste 1 , Waitsfield VT 05673-4445. The organization recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as the primary health care specialty. Mad River Eye Care Pllc can be contacted via phone (802) 730-5167, or through Mitchell, Shannon Hawkley via phone (802) 730-5167.

Contact Information

Primary practice address
5274 Main St Ste 1 Waitsfield VT 05673-4445
Phone: (802) 730-5167
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Shannon Hawkley Doctor of Optometry (OD)
Phone: (802) 730-5167

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 030.0068209 Vermont

Profile Details

NPI number 1538666235
LBN Legal business name Mad River Eye Care Pllc
DBA Doing business as
Authorized official Mitchell, Shannon Hawkley Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2018
Last updated Apr 9th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers