Individual provider Active NPI

David Fridrich Vazan, M.D.

  • Ophthalmology Physician
  • Derry, NH
National Provider Identifier
1326215435
Registry record updated May 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
15115 Issued in NH
Practice address
6 Tsienneto Rd
Suite 101
Derry, NH 03038-1584
Phone
(603) 434-4193
Fax
(603) 437-6804
NPI assigned
May 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 245924 NY
Ophthalmology Physician 207W00000X 25MA08438700 NJ
Ophthalmology Physician 207W00000X 15115 NH Primary

Addresses

Primary practice location

6 Tsienneto Rd
Suite 101
Derry, NH 03038-1584

Mailing address

6 Tsienneto Rd
Suite 101
Derry, NH 03038-1584
Phone (603) 434-4193

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110610000358 NH Practitioner - Ophthalmology 7214089689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spindel Eye Associates PCGroup PAC ID 4880676659, 12 clinicians

Practice addresses (Care Compare)

6 Tsienneto Rd
Suite 101
Derry, NH 03038-1584
Phone (603) 434-4193

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08438700NJMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spindel Eye Associates PC Ophthalmology CurrentSince May 2, 2011 Accepting new patients

Locations

166 S River Rd
Ste 100
Bedford, NH 03110

6 Tsienneto Rd
Ste 101
Derry, NH 03038
Phone (603) 434-4193

50 Michels Way
Unit 104
Londonderry, NH 03053

6 Tsienneto Rd
Londonderry, NH 03038
Phone (603) 421-9959

6 Old Fremont Road Ext
Ste 1
Raymond, NH 03077

49 Range Rd
Ste 106
Windham, NH 03087
Phone (603) 434-4193

Interoperability endpoints

  • Direct secure messaging: dvazan@spindeleye.direct.eyemdemr.com

Organizations & group practices 1

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": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1326215435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 101",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-434-4193",
            "fax_number": "603-437-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "address_2": "SUITE 101",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-434-4193",
            "fax_number": "603-437-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZAN",
        "first_name": "DAVID",
        "middle_name": "FRIDRICH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "245924",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA08438700",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "15115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.