Organization Active NPI

Optivan of Newhampshire Inc

  • Customized Equipment (DME)
  • Penacook, NH
National Provider Identifier
1275657322
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
OPTIVAN OF NEWHAMPSHIRE INC
Practice address
217 Fisherville Rd
Penacook, NH 03303-2074
Phone
(603) 753-9442
Fax
(603) 753-6788
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David William Linnane
Title
President
Phone
(603) 753-9442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NH Primary

Addresses

Primary practice location

217 Fisherville Rd
Penacook, NH 03303-2074

Mailing address

217 Fisherville Rd
Penacook, NH 03303-2074
Phone (603) 753-9442

National Provider Directory

National Provider Directory

Locations

217 Fisherville Rd
Penacook, NH 03303
Phone (603) 753-2085

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275657322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FISHERVILLE RD",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033032074",
            "telephone_number": "603-753-9442",
            "fax_number": "603-753-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 FISHERVILLE RD",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033032074",
            "telephone_number": "603-753-9442",
            "fax_number": "603-753-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIVAN OF NEWHAMPSHIRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LINNANE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-753-9442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penacook, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.