Provider Demographics
NPI:1467893149
Name:DALDINE, CHRISTOPHER JOSEPH (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOSEPH
Last Name:DALDINE
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 1:262 MAIN DUNSTABLE RD
Mailing Address - Street 2:ILLUMINEYES VISION CARE
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1941
Mailing Address - Country:US
Mailing Address - Phone:603-598-1620
Mailing Address - Fax:603-598-1624
Practice Address - Street 1:262 MAIN DUNSTABLE RD
Practice Address - Street 2:ILLUMINEYES VISION CARE
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1941
Practice Address - Country:US
Practice Address - Phone:603-598-1620
Practice Address - Fax:603-598-1624
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2016-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0919152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist