NPIMap

Organization Active NPI

Concord Eye Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Concord, NH
National Provider Identifier
1437138500
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
02786 Issued in NH
Legal business name
CONCORD EYE SURGERY LLC
Practice address
246 Pleasant St
Memorial BLDG West, 2ND Floor
Concord, NH 03301-2548
Phone
(603) 224-6503
NPI assigned
Jan 17, 2006
Last updated
Mar 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Maxwell Arrington SneadNPI 1053369322
Title
MD
Phone
(603) 224-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 02786 NH Primary

Addresses

Primary practice location

246 Pleasant St
Memorial BLDG West, 2ND Floor
Concord, NH 03301-2548

Mailing address

246 Pleasant St
Memorial BLDG West, 2ND Floor
Concord, NH 03301-2548
Phone (603) 224-6503

Other identifiers 4

IdentifierTypeStateIssuer
30621456MedicaidNH
490004972OtherNHRR MEDICARE GROUP
520120-11OtherNHCIGNA GROUP ID
1002228OtherNHANTHEM NH GROUP ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100304000148 NH Part B Supplier - Ambulatory Surgical Center 3274678040 Receives reassigned benefits from 7 practitioners
Practice locations: Concord, NH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Concord Eye Surgery LLCCCN 30C0001018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Concord Eye Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1437138500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "MEMORIAL BLDG WEST, 2ND FLOOR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 PLEASANT ST",
            "address_2": "MEMORIAL BLDG WEST, 2ND FLOOR",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012548",
            "telephone_number": "603-224-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD EYE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "SNEAD",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_middle_name": "ARRINGTON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "603-224-2020"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NH",
            "license": "02786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30621456",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "490004972",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP ID",
            "identifier": "520120-11",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NH GROUP ID",
            "identifier": "1002228",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.