Provider Demographics
NPI:1336385087
Name:MERRIMACK EYE CARE, LLC
Entity Type:Organization
Organization Name:MERRIMACK EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SURAJ
Authorized Official - Middle Name:SADEGHI
Authorized Official - Last Name:AFSHAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-427-0022
Mailing Address - Street 1:50 FOX RUN RD
Mailing Address - Street 2:SUITE 62
Mailing Address - City:NEWINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03801-2851
Mailing Address - Country:US
Mailing Address - Phone:603-427-0022
Mailing Address - Fax:603-430-2053
Practice Address - Street 1:50 FOX RUN RD
Practice Address - Street 2:SUITE 62
Practice Address - City:NEWINGTON
Practice Address - State:NH
Practice Address - Zip Code:03801-2851
Practice Address - Country:US
Practice Address - Phone:603-427-0022
Practice Address - Fax:603-430-2053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-31
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0821152W00000X
MA4714152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty