Provider Demographics
NPI:1275676223
Name:BARBAN EYE ASSOCIATES ,PC AND OPTICAL
Entity Type:Organization
Organization Name:BARBAN EYE ASSOCIATES ,PC AND OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT/INSURANCE BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERREAULT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-526-2020
Mailing Address - Street 1:249 COUNTY RD
Mailing Address - Street 2:NEW LONDON MEDICAL CENTER, SUITE 204
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257
Mailing Address - Country:US
Mailing Address - Phone:603-526-2020
Mailing Address - Fax:
Practice Address - Street 1:249 COUNTY RD
Practice Address - Street 2:NEW LONDON MEDICAL CENTER, SUITE 204
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257
Practice Address - Country:US
Practice Address - Phone:603-526-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5842332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0773340001Medicare NSC