Organization Active NPI

Four Your Eyes Only LLC

  • Optician
  • Moultonborough, NH
National Provider Identifier
1235804485
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
FOUR YOUR EYES ONLY LLC
Doing business as
Four Your Eyes Only LLC
Practice address
517 Whittier Hwy
Moultonborough, NH 03254-3213
Phone
(603) 253-5484
Fax
(603) 253-5484
NPI assigned
Aug 10, 2021
Last updated
Aug 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Authorized official

Name
Patricia DomenichelloNPI 1669060950
Title
Owner/Optician
Phone
(603) 253-5484

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

517 Whittier Hwy
Moultonborough, NH 03254-3213

Mailing address

517 Whittier Hwy
Moultonborough, NH 03254-3213
Phone (603) 253-5484

Other names 1

  • Four Your Eyes Only LLC Doing business as

National Provider Directory

National Provider Directory

Locations

517 Whittier Hwy
Moultonborough, NH 03254
Phone (603) 253-5484

Practitioners & affiliated clinicians

Practitioners 1

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": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1235804485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 WHITTIER HWY",
            "city": "MOULTONBOROUGH",
            "state": "NH",
            "postal_code": "032543213",
            "telephone_number": "603-253-5484",
            "fax_number": "603-253-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 WHITTIER HWY",
            "city": "MOULTONBOROUGH",
            "state": "NH",
            "postal_code": "032543213",
            "telephone_number": "603-253-5484",
            "fax_number": "603-253-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR YOUR EYES ONLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "DOMENICHELLO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "603-253-5484"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Four Your Eyes Only LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moultonborough, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.