Organization Active NPI

Envision Eye Care, PLLC

Doing business as Littleton Eye Care Center

  • Optometrist
  • Littleton, NH
National Provider Identifier
1184953937
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ENVISION EYE CARE, PLLC
Doing business as
Littleton Eye Care Center
Practice address
104 Meadow St
Littleton, NH 03561-4026
Phone
(603) 444-2592
Fax
(603) 444-0804
NPI assigned
Dec 8, 2009
Last updated
Jun 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Authorized official

Name
Dr. William S Holmes, ODNPI 1669544144
Title
Managing Memeber
Phone
(603) 444-2592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

104 Meadow St
Littleton, NH 03561-4026

Mailing address

104 Meadow St
Littleton, NH 03561-4026
Phone (603) 444-2592

Other identifiers 1

IdentifierTypeStateIssuer
0014925OtherNHMEDICARE

Other names 1

  • Littleton Eye Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100326000454 NH Part B Supplier - Clinic/Group Practice 1951437136 Receives reassigned benefits from 6 practitioners
Practice locations: Littleton, NH; Woodsville, NH
O20100930060589 NH DME Supplier - Physician - Optometrist 1951437136 Practice locations: Littleton, NH

National Provider Directory

National Provider Directory

Locations

78 Main St
Lincoln, NH 03251

104 Meadow St
Littleton, NH 03561
Phone (603) 444-2592

104 Meadow St
#C
Littleton, NH 03561

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1184953937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MEADOW ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614026",
            "telephone_number": "603-444-2592",
            "fax_number": "603-444-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MEADOW ST",
            "city": "LITTLETON",
            "state": "NH",
            "postal_code": "035614026",
            "telephone_number": "603-444-2592",
            "fax_number": "603-444-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMEBER",
        "authorized_official_telephone_number": "603-444-2592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0014925",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Littleton Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Littleton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.