Richard Joseph Provenzano in Bennington - Ophthalmology
Richard Joseph Provenzano - NPI 1962456905
Richard Joseph Provenzano is a Ophthalmology in Bennington, Vermont. Richard Joseph Provenzano practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Richard Joseph Provenzano is 1962456905. The last update date is 2018-03-30.
Richard Joseph Provenzano's current location address is 322 Dewey St, Bennington, Vermont. You can contact this provider via phone number 8024478700 and fax number 8024471500. The mailing address for Richard Joseph Provenzano is 322 Dewey St, Bennington, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Joseph Provenzano |
|---|---|
| Address | 322 Dewey St, Bennington, Vermont |
| Phone Number | 8024478700 |
| Fax Number | 8024471500 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962456905 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2018-03-30 |
Provider Mailing Address Detail
| Address | 322 Dewey St |
|---|---|
| City | Bennington |
| State | Vermont (VT) |
| Post Code | 52012225 |
| Phone Number | 8024478700 |
| Fax Number | 8024471500 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 45884 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| I19054 | VT | MABS | |
| 461192 | NY | -- | |
| VT5144 | VT | VTBS | |
| 24109 | MA | BMC | |
| 10001651 | VT | CDPHP | |
| 15622 | VT | 15622 | |
| 15622 | MA | HNE | |
| 17155 | VT | MVP | |
| 24110 | VT | BMC | |
| 110000678A | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard Joseph Provenzano by the Centers for Medicare & Medicaid Services?
The Richard Joseph Provenzano has been issued the NPI (National Provider Identifier) 1962456905 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Richard Joseph Provenzano's facilities are situated?
The facilities of Richard Joseph Provenzano are physically located at the following address: 322 Dewey St, Bennington, VT, 52012225.
What is the Richard Joseph Provenzano's specialty and taxonomy code?
The Richard Joseph Provenzano's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date did the Richard Joseph Provenzano receive the assignment of its 1962456905 from the Centers for Medicare & Medicaid Services?
The Richard Joseph Provenzano was issued its 1962456905 by the Centers for Medicare & Medicaid Services on 2006-05-22.
When was the Richard Joseph Provenzano's information last updated?
The Richard Joseph Provenzano's information was last updated on 2018-03-30.
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