DR. NICHOLAS PAUL MARCONI (O.D.) – Corneal and Contact Management Optometrist, NPI 1417083577

DR. NICHOLAS PAUL MARCONI (O.D.) is a healthcare provider. based in Williston, Vermont. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 030-0000260 (VT). The NPI Number for DR. NICHOLAS PAUL MARCONI (O.D.) is 1417083577

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS PAUL MARCONI (O.D.)
NPI
1417083577
Phone
(802) 872-7447
Address
166 SYCAMORE ST
Enumeration Date
25 February 2007
Last Update Date
29 November 2011

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
8028621947
Graduation Year
1985 (41 years ago)
PAC ID
7315910445
Group Practice PAC ID
7719425669
Professional Enrollment ID
I20040817000940
Address ID
VT054957587WI33XXXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

114 OPTOMETRY in VT

Provider Addresses for DR. NICHOLAS PAUL MARCONI (O.D.)

  • 166 SYCAMORE ST

    SUITE 150

    WILLISTON, VT 054958217

    Phone: (802) 872-7447

    Fax: (802) 872-7448

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040817000940IOptometryVTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05495)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719425669View full group profile
NameSpecialtyState
O P T O M E T R YNC

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. NICHOLAS PAUL MARCONI (O.D.)?
DR. NICHOLAS PAUL MARCONI (O.D.) — NPI 1417083577 — is the standard way to identify this listing.
Is DR. NICHOLAS PAUL MARCONI (O.D.) listed as active for patients and plans?
The listing shows DR. NICHOLAS PAUL MARCONI (O.D.) as active in the NPI system.
What is DR. NICHOLAS PAUL MARCONI (O.D.)'s specialty?
The listing groups DR. NICHOLAS PAUL MARCONI (O.D.) with Corneal and Contact Management Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. NICHOLAS PAUL MARCONI (O.D.) on a map?
Expect Williston, Vermont as a primary anchor for DR. NICHOLAS PAUL MARCONI (O.D.) unless the record lists multiple sites.
Is the information about DR. NICHOLAS PAUL MARCONI (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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