Provider Demographics
NPI:1689623993
Name:OPTOMETRIC PROVIDERS OF NEW HAMPSHIRE, P.C.
Entity Type:Organization
Organization Name:OPTOMETRIC PROVIDERS OF NEW HAMPSHIRE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-898-8560
Mailing Address - Street 1:2921 ERIE BLVD E
Mailing Address - Street 2:OPTOMETRIC PROVIDERS OF NEW HAMPSHIRE, P.C.
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13224-1430
Mailing Address - Country:US
Mailing Address - Phone:315-445-7465
Mailing Address - Fax:315-445-7675
Practice Address - Street 1:346 S BROADWAY
Practice Address - Street 2:ROUTE 28
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4304
Practice Address - Country:US
Practice Address - Phone:603-898-8560
Practice Address - Fax:603-870-9271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty