Active NPI
Renee Theroux Lynch, OD
- Optometrist
- Portsmouth, NH
National Provider Identifier
1083066005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0944
- Practice address
- 155 Borthwick Ave Ste 200E
Portsmouth, NH 03801-4184 - Phone
- (603) 436-1773
- Fax
- (603) 501-7867
- NPI assigned
- Jul 2, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG003206 | PA | |
| Optometrist | 152W00000X | 0944 | NH | Primary |
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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3075455 | Medicaid | NH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rtheroux@eyesightnh.emadirect.md | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Borthwick Ave
Suite 200E
Portsmouth, NH 03801-7156
Phone (603) 436-1773
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0944 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| OEG003206 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyesight Ophthalmic Services PLLC | Optometrist | Current | Accepting new patients |
Locations
192 Water St
Exeter, NH 03833
Phone (603) 778-1133
155 Borthwick Ave
Ste 200E
Portsmouth, NH 03801
267 Route 108
Somersworth, NH 03878
Phone (603) 692-7500
Organizations & group practices 1
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": "1467417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589155200000",
"number": "1083066005",
"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": {
"last_name": "LYNCH",
"first_name": "RENEE",
"middle_name": "THEROUX",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-02",
"last_updated": "2020-05-11",
"certification_date": "2020-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003206",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "0944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3075455",
"state": "NH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rtheroux@eyesightnh.emadirect.md",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "155 Borthwick Ave Ste 200E",
"city": "Portsmouth",
"state": "NH",
"country_code": "US",
"postal_code": "038014184",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.