Healthcare Provider Details

I. General information

NPI: 1295903029
Provider Name (Legal Business Name): JAMES C FRANGOS, OD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2008
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 PORTLAND AVE
DOVER NH
03820-3521
US

IV. Provider business mailing address

15 PORTLAND AVE
DOVER NH
03820-3521
US

V. Phone/Fax

Practice location:
  • Phone: 603-742-7371
  • Fax:
Mailing address:
  • Phone: 603-742-7371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberNH338
License Number StateNH

VIII. Authorized Official

Name: MRS. PEGGY ANN FRANGOS
Title or Position: OFFICE MANAGER
Credential:
Phone: 603-742-7371