Organization Active NPI

Nathan H Drum, OD

  • Optometrist
  • Colebrook, NH
National Provider Identifier
1104065994
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
552 Issued in NH
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 CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dr. Nathan H Drum, ODNPI 1386620789
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0300000272 VT
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
30010684MedicaidNH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.