Individual provider Active NPI

Guy Lessard, O,D.

  • Optometrist
  • Manchester, NH
National Provider Identifier
1083629943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
578 Issued in NH
Practice address
345 S Willow St
Manchester, NH 03103-5728
Phone
(603) 625-1774
Fax
(603) 624-1530
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 578 NH Primary
Optometrist 152W00000X 3646 MA

Addresses

Primary practice location

345 S Willow St
Manchester, NH 03103-5728

Mailing address

345 S Willow St
Manchester, NH 03103-5728
Phone (603) 625-1774

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060323000232 NH Practitioner - Optometry 5799793386 Practice locations: Manchester, NH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

345 S Willow St
Manchester, NH 03103-5728
Phone (603) 625-1774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
578NHMDOptometrist
3646MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083629943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 S WILLOW ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035728",
            "telephone_number": "603-625-1774",
            "fax_number": "603-624-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S WILLOW ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031035728",
            "telephone_number": "603-625-1774",
            "fax_number": "603-624-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESSARD",
        "first_name": "GUY",
        "name_prefix": "Dr.",
        "credential": "O,D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "578",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.