Healthcare Provider Details

I. General information

NPI: 1265480958
Provider Name (Legal Business Name): NAILA ASLAM OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 04/27/2021
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 BELKNAP ST STE 1
DOVER NH
03820-3643
US

IV. Provider business mailing address

65 BELKNAP ST STE 1
DOVER NH
03820-3643
US

V. Phone/Fax

Practice location:
  • Phone: 603-742-5719
  • Fax: 603-743-5811
Mailing address:
  • Phone: 603-742-5719
  • Fax: 603-743-5811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberOPT843
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0723
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number0723
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: