MEDICARE: WALNUT VISION CARE NH PC

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
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1992668529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALNUT VISION CARE NH PC

Provider Business Mailing Address
First Line	:	233 SPRING ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-1522
Country	:	US
Telephone Number	:	855-550-0743
Fax Number	:

Provider Business Practice Location Address
First Line	:	2454 LAFAYETTE RD STE 29
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-5619
Country	:	US
Telephone Number	:	855-550-0743
Fax Number	:

Authorized Official
Title or Position	:	CONTROLLER
Name	:	LINDSAY BUXBAUM
Credential	:
Telephone Number	:	855-550-0743

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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