Individual provider Active NPI

Ronald Bernard Coutu, O.D.

  • Optometrist
  • Manchester, NH
National Provider Identifier
1194720193
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0588 Issued in NH
Practice address
87 Elm St
Manchester, NH 03101-2730
Phone
(603) 935-5966
Fax
(603) 935-5968
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0588 NH Primary

Addresses

Primary practice location

87 Elm St
Manchester, NH 03101-2730

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
30005460MedicaidNH

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
I20051109000283 NH Practitioner - Optometry 5193743045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helfman Lasky and Associates P aGroup PAC ID 9537103627, 9 clinicians

Practice addresses (Care Compare)

81 Mont Vernon St
Milford, NH 03055-4122
Phone (603) 882-0311

Merit-based Incentive Payment System (MIPS)

Final score
81.7 of 100Reported as group
Quality
63.39
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0588NHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Jan 30, 2023 Accepting new patients
Helfman Lasky & Associates P a Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Jan 30, 2023 Accepting new patients

Locations

827 Central Ave
Ste 3
Dover, NH 03820
Phone (603) 343-1123

1 Brickyard Sq
Ste 11
Epping, NH 03042
Phone (603) 347-8377

1093 Elm St
Manchester, NH 03101
Phone (603) 296-0235

381 S Willow St
Manchester, NH 03103
Phone (603) 382-1414

87 Elm St
Manchester, NH 03101
Phone (603) 935-5966

370 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 424-0404

577 Nashua St
Milford, NH 03055
Phone (603) 672-0338

81 Mont Vernon St
Milford, NH 03055
Phone (603) 673-1330

505 W Hollis St
Ste 109
Nashua, NH 03062
Phone (603) 882-0311

605 Lafayette Rd
Ste 1
Portsmouth, NH 03801
Phone (603) 427-6600

8 Stiles Rd
Ste 106
Salem, NH 03079
Phone (603) 890-8821

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1194720193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 ELM ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012730",
            "telephone_number": "603-935-5966",
            "fax_number": "603-935-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTU",
        "first_name": "RONALD",
        "middle_name": "BERNARD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005460",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.