Advanced Eyecare PC
NPI 1790739340ActiveOrganization· Ophthalmology· Bennington, VT
Ophthalmology in Bennington, Vermont, registered in NPPES in May 2006. The authorized official on file is Tracy Niles, Practice Administrator. Enrolled in Medicare as part b supplier - clinic/group practice and dme supplier - physician - ophthalmology.
Overview
| NPI | 1790739340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 19, 2006 |
| Last updated in NPPES | Jul 21, 2020 |
| Certified by provider | Jul 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | — | VT |
| Optometrist | 152W00000X | — | VT |
| Ophthalmology | 207W00000X | — | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MA); DME Supplier - Physician - Ophthalmology (VT); Part B Supplier - Clinic/Group Practice (VT) |
|---|
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