Individual provider Active NPI

Peter A Remillard, O.D.

  • Optometrist
  • Hampton, NH
National Provider Identifier
1063462174
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002193 Issued in CT
Practice address
865 Lafayette Rd
Hampton, NH 03842-1257
Phone
(603) 926-2722
Fax
(603) 926-2898
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3452 MA
Optometrist 152W00000X 1034 NH
Optometrist 152W00000X 002193 CT Primary

Addresses

Primary practice location

865 Lafayette Rd
Hampton, NH 03842-1257

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

162 Mountain Rd
Suffield, CT 06078-2091
Phone (860) 668-0266

Other identifiers 1

IdentifierTypeStateIssuer
004161056MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201119000020 MA Practitioner - Optometry 1759418668 Reassigns benefits to 1 organization
I20210412002647 NH Practitioner - Optometry 1759418668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

577 Nashua St
Milford, NH 03055-4924
Phone (603) 672-0338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3452MAMDMental Health Counselor
1034NHMDMental Health Counselor
2193CTMDChiropractor
002193CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Apr 19, 2021 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Oct 12, 2020 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Apr 19, 2021 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Oct 12, 2020 Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

827 Central Ave
Ste 3
Dover, NH 03820
Phone (603) 343-1123

1 Brickyard Sq
Ste 11
Epping, NH 03042
Phone (603) 347-8377

1093 Elm St
Manchester, NH 03101
Phone (603) 296-0235

9 Triangle Ln
Ste 204
Manchester, NH 03103
Phone (603) 644-6100

87 Elm St
Manchester, NH 03101
Phone (603) 935-5966

381 S Willow St
Manchester, NH 03103
Phone (603) 382-1414

370 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 424-0404

577 Nashua St
Milford, NH 03055
Phone (603) 672-0338

605 Lafayette Rd
Ste 1
Portsmouth, NH 03801
Phone (603) 427-6600

8 Stiles Rd
Ste 106
Salem, NH 03079
Phone (603) 890-8821

13 Indian Rock Rd
Windham, NH 03087
Phone (603) 792-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1063462174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 LAFAYETTE RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421257",
            "telephone_number": "603-926-2722",
            "fax_number": "603-926-2898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "162 Mountain Rd",
            "address_purpose": "LOCATION",
            "city": "Suffield",
            "state": "CT",
            "postal_code": "060782091",
            "country_code": "US",
            "telephone_number": "860-668-0266",
            "fax_number": "860-668-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMILLARD",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3452",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1034",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004161056",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

Verify at the official NPI Registry.