Provider Demographics
NPI:1447214051
Name:NORMAN G. MICHAUD, OD
Entity Type:Organization
Organization Name:NORMAN G. MICHAUD, OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MICHAUD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-497-3622
Mailing Address - Street 1:89 S MAST ST
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-6102
Mailing Address - Country:US
Mailing Address - Phone:603-497-3622
Mailing Address - Fax:603-497-5325
Practice Address - Street 1:89 S MAST ST
Practice Address - Street 2:
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045-6102
Practice Address - Country:US
Practice Address - Phone:603-497-3622
Practice Address - Fax:603-497-5325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH210152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1051326OtherHARVARD PILGRIM INSURANCE
NHP00072272OtherPALMETTE GBA
NH73020OtherCIGNA INSURANCE COMPANIES
NHP00072272OtherPALMETTE GBA
NH73020OtherCIGNA INSURANCE COMPANIES
NHP00072272OtherPALMETTE GBA