MEDICARE: SHIPPEE FAMILY EYE CARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1114526928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHIPPEE FAMILY EYE CARE PC

Provider Business Mailing Address
First Line	:	468 HOSPITAL DR
Second Line	:
City	:	ST JOHNSBURY
State	:	VT
Zip	:	05819-9225
Country	:	US
Telephone Number	:	603-444-2484
Fax Number	:

Provider Business Practice Location Address
First Line	:	580 SAINT JOHNSBURY RD STE 12
Second Line	:
City	:	LITTLETON
State	:	NH
Zip	:	03561-3437
Country	:	US
Telephone Number	:	603-444-2484
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	TRISHA EASTMAN
Credential	:
Telephone Number	:	603-788-3561

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	01/23/2026

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