Healthcare Provider Details

I. General information

NPI: 1205757416
Provider Name (Legal Business Name): COLBY D CHARETTE O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1319 WHITE MOUNTAIN HWY
NORTH CONWAY NH
03860-5155
US

IV. Provider business mailing address

1319 WHITE MOUNTAIN HWY
NORTH CONWAY NH
03860-5155
US

V. Phone/Fax

Practice location:
  • Phone: 603-356-3000
  • Fax: 603-356-4101
Mailing address:
  • Phone: 603-356-3000
  • Fax: 603-356-4101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1538
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: