Active NPI
Nathan H Drum, OD
- Optometrist
- Colebrook, NH
National Provider Identifier
1104065994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 552
- Legal business name
- NATHAN H DRUM, OD
- Practice address
- 109 Main St
Suite 2
Colebrook, NH 03576-3065 - Phone
- (603) 237-4500
- Fax
- (603) 237-9900
- NPI assigned
- Feb 18, 2009
- Organization subpart
- Yes
- Parent organization
- LANCASTER EYE CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathan H Drum, OD
- Title
- Owner/Optometrist
- Phone
- (603) 788-2031
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0300000272 | VT | |
| Optometrist | 152W00000X | 552 | NH | Primary |
Addresses
Primary practice location
109 Main St
Suite 2
Colebrook, NH 03576-3065
Mailing address
95 Main St
PO Box 527
Lancaster, NH 03584-3072
Phone (603) 788-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30010684 | Medicaid | NH |
National Provider Directory
National Provider DirectoryLocations
109 Main St
Ste 2
Colebrook, NH 03576
Phone (603) 237-4500
95 Main St
Lancaster, NH 03584
Phone (603) 788-2031
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Colebrook, NH
- NPI 1386620789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335312000000",
"number": "1104065994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MAIN ST",
"address_2": "PO BOX 527",
"city": "LANCASTER",
"state": "NH",
"postal_code": "035843072",
"telephone_number": "603-788-2031",
"fax_number": "603-788-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 MAIN ST",
"address_2": "SUITE 2",
"city": "COLEBROOK",
"state": "NH",
"postal_code": "035763065",
"telephone_number": "603-237-4500",
"fax_number": "603-237-9900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATHAN H DRUM, OD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LANCASTER EYE CARE",
"enumeration_date": "2009-02-18",
"last_updated": "2012-04-25",
"status": "A",
"authorized_official_last_name": "DRUM",
"authorized_official_first_name": "NATHAN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "603-788-2031",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VT",
"license": "0300000272",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NH",
"license": "552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30010684",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colebrook, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.