Iglass Studio, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

717 Issued in NH

Legal business name

IGLASS STUDIO, LLC

Practice address

603 Nashua St
Unit 3
Milford, NH 03055-4924

Phone

(603) 672-0338

Fax

(603) 672-5228

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Julie Minh-Tu Le, O.D.

Title

Sole Member/Owner

Phone

(603) 672-0338

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253232000000",
    "number": "1194906727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NASHUA ST",
            "address_2": "UNIT 3",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030554924",
            "telephone_number": "603-672-0338",
            "fax_number": "603-672-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NASHUA ST",
            "address_2": "UNIT 3",
            "city": "MILFORD",
            "state": "NH",
            "postal_code": "030554924",
            "telephone_number": "603-672-0338",
            "fax_number": "603-672-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGLASS STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2009-09-18",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MINH-TU",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "603-672-0338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NH",
            "license": "717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30351596",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron D Howard, DC
• Michelle Humphrey
• Terry Lynn Humphrey, LMFT
• Kendall Lindberg Hunt, PTA
• Siobhan Hurley, PHARMD
• Beth Irvine, CPM, NHCM
• Christopher H Jacobson, ARNP
• Gretchen James, OTA/L
• Rebecca A Jamison, LCMHC
• John B. Kenison, DDS, PA

• Clinic/Center in Milford, NH
• Providers in Milford, NH by specialty
• Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.