IndividualActive
Richard Provenzano, M.D.
NPI 1962456905 · Ophthalmology Physician · Bennington, VT
Provider details
- NPI number
- 1962456905
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 45884 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
322 Dewey St
Bennington, VT 05201-2225
Phone: (802) 447-8700
Fax: (802) 447-1500
Approximate (ZIP-level) locationGet directions
Mailing address
322 Dewey St
Bennington, VT 05201-2225
Registry dates
- Enumerated
- 2006-05-22
- Last updated
- 2018-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.