Healthcare Provider Details

I. General information

NPI: 1518044213
Provider Name (Legal Business Name): NH EYE ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

764 2ND ST
MANCHESTER NH
03102-5210
US

IV. Provider business mailing address

764 2ND ST
MANCHESTER NH
03102-5210
US

V. Phone/Fax

Practice location:
  • Phone: 603-669-3925
  • Fax: 603-669-0380
Mailing address:
  • Phone: 603-669-3925
  • Fax: 603-669-0380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY J CORRENTI
Title or Position: OWNER
Credential:
Phone: 603-669-3925