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ADVANCED EYECARE PC
NPI 1790739340
Ophthalmology in Bennington, VT

Active since May 19, 2006
322 DEWEY ST, BENNINGTON, VT 05201(802) 447-8700(802) 447-1500 Get Directions Write a Review

NPPES record last updated: July 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Eyecare Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED EYECARE PC (NPI 1790739340) is a healthcare organization registered as an ophthalmology in Bennington, Vermont and active in the NPI registry since May 2006. The organization lists Tracy Niles, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1790739340
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameADVANCED EYECARE PC
Location Address322 DEWEY STBennington, VT 05201-2225
Mailing Address322 Dewey StBennington, VT 05201-2225 · (802) 447-8700 · Fax (802) 447-1500
Phone(802) 447-8700
Fax(802) 447-1500
Organization SubpartNo
Authorized OfficialTracy NilesPractice Administrator · (802) 447-8700
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 21, 2020
NPPES CertifiedJuly 21, 2020
✔ NPI 1790739340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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 includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
322 DEWEY ST, Bennington, VT 05201
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Other Identifiers 16

Other1268MA · Hne
OtherADVA318-19924VT · Vtbs
Medicaid110072172AMA
Other1268VT · Hne
Other200052887VT · Mvp
OtherADVA318-19924MA · Vtbs
Other1059MA · Cdphp
Other200052887MA · Mvp
Other614906MA · Tufts
Other1059VT · Cdphp
OtherM16004VT · Mabs
OtherM16004MA · Mabs
MedicaidVN0966VT
Medicaid01794247NY
Other614906VT · Tufts
MedicaidVT0949VT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Eyecare Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Advanced Eyecare PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology11
Optometry5

Clinicians, nearest first (16)

Paula Laroche, O.D.
Optometry
NPI 1669427407
322 DEWEY ST
Bennington, VT 05201
(802) 447-8700
✔ PECOS✔ Accepts MedicareSame address
Erik Niemi, D.O.
Ophthalmology
NPI 1194772491
322 DEWEY ST
Bennington, VT 05201
(802) 447-8700
✔ PECOS✔ Accepts MedicareSame address
Michael Porter, O.D.
Optometry
NPI 1043258262
322 DEWEY ST
Bennington, VT 05201
(802) 447-8700
✔ PECOSSame address
Brett Smith, MD
Ophthalmology
NPI 1689939795
322 DEWEY ST
Bennington, VT 05201
(802) 447-8700
✔ PECOS✔ Accepts MedicareSame address
Estela Ogiste, MD, PHD
Ophthalmology
NPI 1780684902
77 HOSPITAL AVE STE 110
North Adams, MA 01247
(413) 664-6736
✔ PECOS✔ Accepts Medicare12 mi
Heidi Welnak, OD
Optometry
NPI 1609484179
5222 MAIN ST
Manchester Center, VT 05255
(802) 366-8050
✔ PECOS✔ Accepts Medicare23 mi
Philip Conkling, MD
Ophthalmology
NPI 1689202525
1220 NEW SCOTLAND RD STE 201
Slingerlands, NY 12159
(518) 533-6550
✔ PECOS✔ Accepts Medicare36 mi
Jonathan Huz, M.D.
Ophthalmology
NPI 1124384714
1220 NEW SCOTLAND RD SUITE 201
Slingerlands, NY 12159
(518) 533-6550
✔ PECOS✔ Accepts Medicare36 mi
Zena Ibrahim
Ophthalmology
NPI 1205414059
1220 NEW SCOTLAND RD STE 201
Slingerlands, NY 12159
(518) 533-6550
✔ PECOS✔ Accepts Medicare36 mi
Pawan Bhatnagar, M.D.
Ophthalmology
NPI 1821057233
1220 NEW SCOTLAND RD SUITE NUMBER 201
Slingerlands, NY 12159
(518) 533-6550
✔ PECOS✔ Accepts Medicare36 mi
Chad Bouchard, D.O.
Ophthalmology
NPI 1831328053
1220 NEW SCOTLAND RD STE 201
Slingerlands, NY 12159
(518) 533-6550
✔ PECOS✔ Accepts Medicare36 mi
Naomi Falk, M.D.
Ophthalmology
NPI 1649271859
1220 NEW SCOTLAND RD SUITE 201
Slingerlands, NY 12159
(518) 533-6550
✔ PECOS✔ Accepts Medicare36 mi
Matthew Habib, MD
Ophthalmology
NPI 1952899783
1220 NEW SCOTLAND RD STE 201
Slingerlands, NY 12159
(518) 533-6550
✔ PECOS✔ Accepts Medicare36 mi
Ryan Shea, O.D.
Optometry
NPI 1720279250
28 STATE ROAD
Vineyard Haven, MA 02568
(508) 693-3517
✔ PECOS✔ Accepts Medicare166 mi
David Phan, OD
Optometry
NPI 1972099307
1753 E 95TH ST STE B-100
Chicago, IL 60617
(773) 364-4938
✔ PECOS✔ Accepts Medicare740 mi
Gina Mahatma
Ophthalmology
NPI 1043873128
DEAN MCGEE EYE INSTITUTE, 608 STANTON L. YOUNG BLVD
Oklahoma City, OK 73104
(405) 271-6060
✔ PECOS✔ Accepts Medicare1,395 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Advanced Eyecare PC carries, from the Medicare DMEPOS supplier directory.

Advanced Eyecare PC

DMEPOS supplier · Bennington, VT
✔

Accepts Medicare assignment

Advanced Eyecare PC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20669819
Medicare Participant SinceOctober 17, 1994
Supplier Location322 Dewey StBennington, VT 05201
Phone(802) 447-8700
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Eyecare PC's NPI number?

The NPI number for Advanced Eyecare PC is 1790739340. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Advanced Eyecare PC located?

Advanced Eyecare PC is located at 322 Dewey St, Bennington, VT 05201. The listed phone number is (802) 447-8700.

What is Advanced Eyecare PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Advanced Eyecare PC enrolled in Medicare?

Yes. Advanced Eyecare PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Eyecare PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Eyecare PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (11) and Optometry (5). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Eyecare PC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Advanced Eyecare PC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Advanced Eyecare PC accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Advanced Eyecare PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Eyecare PC was last updated on July 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.