Broke Glasses Gal LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

BROKE GLASSES GAL LLC

Doing business as

Mount Washington Valley Vision

Practice address

486 White Mountain Hwy Ste D
Conway, NH 03818-4215

Phone

(603) 915-6478

NPI assigned

Aug 6, 2022

Last updated

Dec 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn K Letellier, ABOCNPI 1588398242

Title

Owner/Manager

Phone

(603) 915-6478

Specialties & licenses 1

Addresses

Other names 1

• Mount Washington Valley Vision Doing business as

Locations

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.

• Carolyn Letellier, ABOC

  • Optician
  • Conway, NH
  • NPI 1588398242
  NPD Authorized official

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1083341259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WHITELAW DR",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134421",
            "telephone_number": "603-915-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 WHITE MOUNTAIN HWY STE D",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038184215",
            "telephone_number": "603-915-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKE GLASSES GAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "LETELLIER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "603-915-6478",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Washington Valley Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Heron Neurofeedback and Counseling
• Suzanne Borsody
• Melanie Bova, LCMHC
• Jennifer Bowser
• Judith A Brewster, PA-C
• Alexander H Brown
• Jacklyn Brown, WAIVER
• Paula Brown, RN
• Bruce D. Latham, D.O.,P.a.
• Karen Kilegle Buchanana

• Optician in Conway, NH
• Providers in Conway, NH by specialty
• Optician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.