NPIMap

Organization Active NPI

Ronald W. Douville Professional Association

  • Optometrist
  • Merrimack, NH
National Provider Identifier
1043491905
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
355 Issued in NH
Legal business name
RONALD W. DOUVILLE PROFESSIONAL ASSOCIATION
Practice address
395 Daniel Webster Hwy
Merrimack, NH 03054-4128
Phone
(603) 424-4030
Fax
(603) 424-7277
NPI assigned
Nov 20, 2007
Last updated
Feb 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald W Douville,, ODNPI 1679515043
Title
President
Phone
(603) 424-4030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 355 NH Primary

Addresses

Primary practice location

395 Daniel Webster Hwy
Merrimack, NH 03054-4128

Mailing address

PO Box 1059
Merrimack, NH 03054-1059
Phone (603) 424-4030

Other identifiers 1

IdentifierTypeStateIssuer
80587884MedicaidNH

National Provider Directory

National Provider Directory

Locations

395 Daniel Webster Hwy
Unit 2
Merrimack, NH 03054
Phone (603) 424-4030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1043491905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030541059",
            "telephone_number": "603-424-4030",
            "fax_number": "603-424-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 DANIEL WEBSTER HWY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544128",
            "telephone_number": "603-424-4030",
            "fax_number": "603-424-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD W. DOUVILLE PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "DOUVILLE,",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-424-4030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80587884",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimack, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.