Active NPI
John Frederick Minteer, O.D.
- Optometrist
- Peterborough, NH
National Provider Identifier
1295848455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NH 282
- Practice address
- 129 Wilton Rd
Peterborough, NH 03458-1749 - Phone
- (603) 924-9591
- Fax
- (603) 924-9593
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NH 282 | NH | Primary |
Addresses
Primary practice location
129 Wilton Rd
Peterborough, NH 03458-1749
Mailing address
129 Wilton Rd
Peterborough, NH 03458-1749
Phone (603) 924-9591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80587783 | Medicaid | NH |
Other names 1
- Dr. John Frederick Minteer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282 | NH | MD | Mental Health Counselor |
| NH 282 | NH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John F Minteer OD PLLC | Past | Accepting new patients | |
| Robert Marc Tyszko | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Peterborough, NH
- NPI 1477738839
-
- Optometrist
- Peterborough, NH
- NPI 1023245305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1295848455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 WILTON RD",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581749",
"telephone_number": "603-924-9591",
"fax_number": "603-924-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 WILTON RD",
"city": "PETERBOROUGH",
"state": "NH",
"postal_code": "034581749",
"telephone_number": "603-924-9591",
"fax_number": "603-924-9593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINTEER",
"first_name": "JOHN",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "NH 282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80587783",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOHN",
"last_name": "MINTEER",
"middle_name": "FREDERICK",
"prefix": "DR.",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Peterborough, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.