Provider Demographics
NPI:1396044467
Name:SAMUEL GIVEEN LLC
Entity Type:Organization
Organization Name:SAMUEL GIVEEN LLC
Other - Org Name:DR. SAM'S EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:GIVEEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-543-0320
Mailing Address - Street 1:9 DUNNING STREET
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-2022
Mailing Address - Country:US
Mailing Address - Phone:603-543-0320
Mailing Address - Fax:603-430-0570
Practice Address - Street 1:9 DUNNING ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-2022
Practice Address - Country:US
Practice Address - Phone:603-543-0320
Practice Address - Fax:603-430-0570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0730152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty