Provider Demographics
NPI:1275617847
Name:TING-DOWNING, PAULA A (OD)
Entity Type:Individual
Prefix:DR
First Name:PAULA
Middle Name:A
Last Name:TING-DOWNING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:PAULA
Other - Middle Name:A
Other - Last Name:TING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:10 HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4561
Mailing Address - Country:US
Mailing Address - Phone:603-226-1007
Mailing Address - Fax:603-226-4088
Practice Address - Street 1:344 LOUDON RD
Practice Address - Street 2:LOCATED AT WALMART VISION CENTER
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-6095
Practice Address - Country:US
Practice Address - Phone:603-226-1007
Practice Address - Fax:603-226-4088
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0651152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH5451570OtherAETNA
NH30353409Medicaid
NH0900489Y0NH06OtherBLUE CROSS
NH41482OtherSPECTERA VISION PLAN
NHU68803Medicare UPIN
NH0900489Y0NH06OtherBLUE CROSS