Provider Demographics
NPI:1598364309
Name:SHIPPEE FAMILY EYE CARE, P.C.
Entity Type:Organization
Organization Name:SHIPPEE FAMILY EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAYETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-223-7723
Mailing Address - Street 1:1290 HOSPITAL DR STE 5
Mailing Address - Street 2:
Mailing Address - City:ST JOHNSBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05819-9205
Mailing Address - Country:US
Mailing Address - Phone:802-223-7723
Mailing Address - Fax:
Practice Address - Street 1:1290 HOSPITAL DR STE 5
Practice Address - Street 2:
Practice Address - City:ST JOHNSBURY
Practice Address - State:VT
Practice Address - Zip Code:05819-9205
Practice Address - Country:US
Practice Address - Phone:802-748-8126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty