NPIMap

Organization Active NPI

Eyesight Ophthalmic Services PLLC

  • Ophthalmology Physician
  • Portsmouth, NH
National Provider Identifier
1073736310
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYESIGHT OPHTHALMIC SERVICES PLLC
Practice address
155 Borthwick Ave Ste 200E
Portsmouth, NH 03801-4184
Phone
(603) 436-1773
Fax
(603) 501-7867
NPI assigned
Apr 11, 2007
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Sonya L Merritt
Title
Ceo
Phone
(603) 436-1773

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Specialist 174400000X
Ophthalmology Physician 207W00000X Primary
Surgery Physician 208600000X

Addresses

Primary practice location

155 Borthwick Ave Ste 200E
Portsmouth, NH 03801-4184

Mailing address

155 Borthwick Ave Ste 200E
Portsmouth, NH 03801-4184
Phone (603) 436-1773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080422000531 NH Part B Supplier - Clinic/Group Practice 3971588609 Receives reassigned benefits from 17 practitioners
Practice locations: Somersworth, NH; Portsmouth, NH; Exeter, NH
O20100930094306 NH DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 3971588609 Practice locations: Portsmouth, NH
O20220722001537 ME Part B Supplier - Clinic/Group Practice 3971588609 Receives reassigned benefits from 4 practitioners
Practice locations: Sanford, ME; Kittery, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D1039796Eyesight Ophthalmic Services PLLC155 Borthwick Ave, Ste 200 East, Portsmouth, NH 03801Certificate of waiverApr 21, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Eyesight Ophthalmic Services PLLC155 Borthwick Ave, Portsmouth, NH 03801-71566034361773216 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
Eyesight Ophthalmic Services PA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

272 Cottage St
Ste B
Sanford, ME 04073

192 Water St
Exeter, NH 03833
Phone (603) 778-1133

71 Portsmouth Ave Unit 101
Exeter, NH 03833

155 Borthwick Ave
Ste 200E
Portsmouth, NH 03801

267 Route 108
Somersworth, NH 03878
Phone (603) 692-7500

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1073736310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE STE 200E",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014184",
            "telephone_number": "603-436-1773",
            "fax_number": "603-501-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE STE 200E",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038014184",
            "telephone_number": "603-436-1773",
            "fax_number": "603-501-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESIGHT OPHTHALMIC SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-436-1773"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.