Eye Logic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

NH0706 Issued in NH

Legal business name

EYE LOGIC LLC

Practice address

158A NH Route 108
Dover, NH 03820-8812

Phone

(603) 742-0045

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Derek W Guarino, ODNPI 1427137710

Title

Optometrist/Owner

Phone

(603) 742-0045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Wentworth Guarino, OD

  • Optometrist
  • Dover, NH
  • NPI 1427137710
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1124515234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 WASHINGTON ST",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203630",
            "telephone_number": "603-343-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158A NH ROUTE 108",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038208812",
            "telephone_number": "603-742-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE LOGIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "GUARINO",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "603-742-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "NH0706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Dover, NH
• Providers in Dover, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.