Richard Joseph Provenzano is a Bennington, Vermont based male Ophthalmologist who is specialized in Ophthalmology. Active license number of Richard Joseph Provenzano is 042-0006501 for Ophthalmology in Vermont. Richard Joseph Provenzano is 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, patients can be prescribed vision services, including glasses and contact lenses.
Complete Profile:
Richard Joseph Provenzano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Ophthalmology
Credentials:
M.D.
Gender:
Male
Practice Address:
322 Dewey St, Bennington, Vermont, 05201-2225
Phone:
802-447-8700
Fax:
802-447-1500
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1962456905
NPI Enumeration Date:
22 May, 2006
NPI Last Update On:
30 Mar, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard Joseph Provenzano are as mentioned below.
License Number
Specialization
State
Status
042-0006501
Ophthalmology
Vermont
Primary
45884
Ophthalmology
Massachusetts
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Richard Joseph Provenzano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
I19054
Other
Vermont
MABS
00461192
Medicaid
New York
VT5144
Other
Vermont
VTBS
000000024109
Other
Massachusetts
BMC
10001651
Other
Vermont
CDPHP
15622
Other
Vermont
15622
15622
Other
Massachusetts
HNE
17155
Other
Vermont
MVP
000000024110
Other
Vermont
BMC
110000678A
Medicaid
Massachusetts
10001651
Other
Massachusetts
CDPHP
I19054
Other
Massachusetts
MABS
0005144
Medicaid
Vermont
17155
Other
Massachusetts
MVP
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
322 Dewey St, Bennington, Vermont
Zip:
05201-2225
Phone Number:
802-447-8700
Fax Number:
802-447-1500
Patients can reach Richard Joseph Provenzano at 322 Dewey St, Bennington, Vermont or can call to book an appointment on 802-447-8700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.