Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Richard Joseph Provenzano, MD

Individual provider Ophthalmology Physician · NPI 1962456905

Richard Joseph Provenzano, MD is an Ophthalmology Physician in Bennington, Vermont. Licensed in Massachusetts and Vermont. Registered with an NPI since 2006.

Licensed in
MA, VT
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

322 Dewey St
Bennington, VT 05201-2225
Phone: (802) 447-8700
Fax: (802) 447-1500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 042-0006501 (VT)
Ophthalmology Physician Taxonomy 207W00000X · Licence 45884 (MA)

Record details

NPI number1962456905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESMarch 30, 2018

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