Provider Demographics
NPI:1932231271
Name:AMERICAN EYECARE EXPRESS INC.
Entity Type:Organization
Organization Name:AMERICAN EYECARE EXPRESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-527-1100
Mailing Address - Street 1:96 DANIEL WEBSTER HWY
Mailing Address - Street 2:UNIT #55
Mailing Address - City:BELMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03220-3045
Mailing Address - Country:US
Mailing Address - Phone:603-527-1100
Mailing Address - Fax:603-528-5800
Practice Address - Street 1:96 DANIEL WEBSTER HWY
Practice Address - Street 2:UNIT #55
Practice Address - City:BELMONT
Practice Address - State:NH
Practice Address - Zip Code:03220-3045
Practice Address - Country:US
Practice Address - Phone:603-527-1100
Practice Address - Fax:603-528-5800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30008781Medicaid
NH30008781Medicaid
OHOP0859Medicare UPIN