Provider Demographics
NPI:1417104365
Name:DR. DOROTHY L. HITCHMOTH, PLLC
Entity Type:Organization
Organization Name:DR. DOROTHY L. HITCHMOTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HITCHMOTH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-583-4211
Mailing Address - Street 1:PO BOX 302
Mailing Address - Street 2:
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-0302
Mailing Address - Country:US
Mailing Address - Phone:603-583-4211
Mailing Address - Fax:
Practice Address - Street 1:255 NEWPORT RD
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257-5466
Practice Address - Country:US
Practice Address - Phone:603-583-4211
Practice Address - Fax:866-752-6802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-22
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0652152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE 8012Medicare PIN