Individual provider Active NPI

Benjamin Allen Choiniere

  • Optometrist
  • Jaffrey, NH
National Provider Identifier
1386407898
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1206 Issued in NH
Practice address
121 Main St
Jaffrey, NH 03452-6140
Phone
(603) 532-8835
NPI assigned
Feb 6, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OPT5707 MA
Optometrist 152W00000X 1206 NH Primary

Addresses

Primary practice location

121 Main St
Jaffrey, NH 03452-6140

Mailing address

4 Ides Hill LN
Attleboro, MA 02703-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241211000322 NH Practitioner - Optometry 6709322274 Practice locations: Jaffrey, NH
I20241227001100 MA Practitioner - Optometry 6709322274 Practice locations: Methuen, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

121 Main St
Jaffrey, NH 03452-6140
Phone (603) 532-8835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Center, Inc. Current Accepting new patients
Jaffrey Eye Care Optometrist CurrentSince Feb 11, 2024 Accepting new patients
John J. Weiter, MD PC Optometrist Past Accepting new patients
John J Weiter, MD, PC PastSince Sep 1, 2013 Accepting new patients

Locations

121 Main St
Jaffrey, NH 03452
Phone (603) 532-8835

Interoperability endpoints

  • Direct secure messaging: choiniere.benjamin.nsmc@direct.partners.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1386407898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 IDES HILL LN",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027034655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAIN ST",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034526140",
            "telephone_number": "603-532-8835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOINIERE",
        "first_name": "BENJAMIN",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5707",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jaffrey, NH

Sources for this page

Verify at the official NPI Registry.