Provider Demographics
NPI:1538284070
Name:SPINDEL EYE ASSOCIATES PC
Entity Type:Organization
Organization Name:SPINDEL EYE ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LALIBERTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-434-4193
Mailing Address - Street 1:5 PLAISTOW RD
Mailing Address - Street 2:SHAWS PLAZA
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865
Mailing Address - Country:US
Mailing Address - Phone:603-382-1414
Mailing Address - Fax:
Practice Address - Street 1:5 PLAISTOW RD
Practice Address - Street 2:SHAWS PLAZA
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865
Practice Address - Country:US
Practice Address - Phone:603-434-4193
Practice Address - Fax:603-382-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30213269Medicaid
RE6206Medicare ID - Type Unspecified