Provider Demographics
NPI:1922474428
Name:OPTOMETRIC ASSOCIATES OF NH, LLC
Entity Type:Organization
Organization Name:OPTOMETRIC ASSOCIATES OF NH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-524-6922
Mailing Address - Street 1:PO BOX 417814
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-7814
Mailing Address - Country:US
Mailing Address - Phone:800-349-5120
Mailing Address - Fax:210-524-6587
Practice Address - Street 1:273 LOUDON ROAD
Practice Address - Street 2:SUITE 7
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-224-0418
Practice Address - Fax:603-224-0398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty