Healthcare Provider Details
I. General information
NPI: 1679780514
Provider Name (Legal Business Name): ONTRACK LASER VISION CORRECTION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
107 RIVERWAY PL BUILDING ONE
BEDFORD NH
03110-6730
US
IV. Provider business mailing address
107 RIVERWAY PL BUILDING ONE
BEDFORD NH
03110-6730
US
V. Phone/Fax
- Phone: 603-663-1013
- Fax: 603-663-1015
- Phone: 603-663-1013
- Fax: 603-663-1015
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 156FX1101X |
| Taxonomy | Ophthalmic Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GERALD
SPINDEL
Title or Position: MANAGING PARTNER
Credential: M.D.
Phone: 603-663-1013