Provider Demographics
NPI:1437138500
Name:CONCORD EYE SURGERY LLC
Entity Type:Organization
Organization Name:CONCORD EYE SURGERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MAXWELL
Authorized Official - Middle Name:ARRINGTON
Authorized Official - Last Name:SNEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-224-2020
Mailing Address - Street 1:246 PLEASANT ST
Mailing Address - Street 2:MEMORIAL BLDG WEST, 2ND FLOOR
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2548
Mailing Address - Country:US
Mailing Address - Phone:603-224-6503
Mailing Address - Fax:
Practice Address - Street 1:246 PLEASANT ST
Practice Address - Street 2:MEMORIAL BLDG WEST, 2ND FLOOR
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2548
Practice Address - Country:US
Practice Address - Phone:603-224-6503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02786261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH520120-11OtherCIGNA GROUP ID
NH30621456Medicaid
NH1002228OtherANTHEM NH GROUP ID
NH490004972OtherRR MEDICARE GROUP
NH301018Medicare PIN