Healthcare Provider Details
I. General information
NPI: 1891595427
Provider Name (Legal Business Name): EYEFIX FAMILY OPTICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/13/2025
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
217 FISHERVILLE RD
CONCORD NH
03303-4010
US
IV. Provider business mailing address
217 FISHERVILLE RD
CONCORD NH
03303-4010
US
V. Phone/Fax
- Phone: 603-753-2085
- Fax: 603-753-2221
- Phone: 603-753-2085
- Fax: 603-753-2221
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 156FX1800X |
| Taxonomy | Optician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANNIKA
COZAD
Title or Position: OWNER
Credential: LDO ABOC
Phone: 603-753-2085