Provider Demographics
NPI:1760757488
Name:LAFLAMME, CHARLES (OPTICIAN)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:LAFLAMME
Suffix:
Gender:M
Credentials:OPTICIAN
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 2005
Mailing Address - Street 2:147 WEST MAIN STREET
Mailing Address - City:HILLSBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03244-2005
Mailing Address - Country:US
Mailing Address - Phone:603-680-4040
Mailing Address - Fax:603-680-4070
Practice Address - Street 1:147 W MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:HILLSBORO
Practice Address - State:NH
Practice Address - Zip Code:03244-5231
Practice Address - Country:US
Practice Address - Phone:603-680-4040
Practice Address - Fax:603-680-4070
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician