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NPI Code Detail

MEDICARE: DR. DENIS ROGER ALLARD OD

MEDICARE: DR. DENIS ROGER ALLARD OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0288NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114004363
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENIS ROGER ALLARD OD
Provider Business Mailing Address
First Line : 25 BAY ST
Second Line :
City : MANCHESTER
State : NH
Zip : 03104-3004
Country : US
Telephone Number : 603-622-1731
Fax Number : 603-668-3843
Provider Business Practice Location Address
First Line : 25 BAY ST
Second Line :
City : MANCHESTER
State : NH
Zip : 03104-3004
Country : US
Telephone Number : 603-622-1731
Fax Number : 603-668-3843
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 06/05/2008

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