Provider Demographics
NPI:1942379862
Name:CATALANO BOYER, AMY CHRISTIAN (OD)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:CHRISTIAN
Last Name:CATALANO BOYER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:CHRISTIAN
Other - Last Name:CATALANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 4159
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03802-4159
Mailing Address - Country:US
Mailing Address - Phone:603-828-9601
Mailing Address - Fax:603-430-3076
Practice Address - Street 1:50 FOX RUN RD
Practice Address - Street 2:103
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03801-2851
Practice Address - Country:US
Practice Address - Phone:603-828-9601
Practice Address - Fax:603-430-3076
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH0705152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNH0705OtherEYEMED
NH020630430OtherCIGNA
NH09Y004150NH01OtherBCBS
NH020630430OtherAETNA
NH020630430OtherCIGNA
NH020630430OtherAETNA