Active NPI
David Fridrich Vazan, M.D.
- Ophthalmology Physician
- Derry, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 15115
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 317 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08438700 | NJ | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spindel Eye Associates PC | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Derry, NH
- NPI 1952471807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.