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NORTHEAST CORNEAL CONSULTANTS PA NPI 1699714329


NPI Information

NPI: 1699714329
Provider Name: NORTHEAST CORNEAL CONSULTANTS, PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 30D2186634

Address:
155 GRIFFIN RD.
SUITE 1
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 430-5225
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NORTHEAST CORNEAL CONSULTANTS, PA is an ophthalmology in Portsmouth, NH. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are 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, an ophthalmologist prescribes vision services, including glasses and contact lenses. NORTHEAST CORNEAL CONSULTANTS, PA NPI is 1699714329. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 GRIFFIN RD.
SUITE 1
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 430-5225
Fax: (603) 430-1230

The provider's authorized official is Richard J Lasonde .
The authorized official title is Owner and has the following contact phone number (603) 430-5225.

The CLIA number assigned to this NPI record is 30D2186634 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 10/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1129370000MEDICAIDMAINE
2RE3985MEDICARE UPINNEW HAMPSHIRE
330009219MEDICAIDNEW HAMPSHIRE
4MM6208MEDICARE UPINMAINE
5DB2576OTHERNEW HAMPSHIRERAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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