Provider Demographics
NPI:1457467367
Name:ALGER, JOSEPH W (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:W
Last Name:ALGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 667
Mailing Address - Street 2:338 MAIN ST
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-0667
Mailing Address - Country:US
Mailing Address - Phone:603-352-1301
Mailing Address - Fax:603-352-1539
Practice Address - Street 1:338 MAIN ST
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-0667
Practice Address - Country:US
Practice Address - Phone:603-352-1301
Practice Address - Fax:603-353-1539
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH183152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
4957604OtherCIGNA
NH40587792Medicaid
090779240NH01OtherANTHEM
NHNH779241Medicare ID - Type Unspecified
090779240NH01OtherANTHEM