Individual provider Active NPI

Christopher Joseph Daldine, O.D.

  • Optometrist
  • Nashua, NH
National Provider Identifier
1467893149
Registry record updated Jul 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0919 Issued in NH
Practice address
262 Main Dunstable Rd
Illumineyes Vision Care
Nashua, NH 03062-1941
Phone
(603) 598-1620
Fax
(603) 598-1624
NPI assigned
Jul 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0919 NH Primary

Addresses

Primary practice location

262 Main Dunstable Rd
Illumineyes Vision Care
Nashua, NH 03062-1941

Mailing address

262 Main Dunstable Rd
Illumineyes Vision Care
Nashua, NH 03062-1941
Phone (603) 598-1620

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160613001616 NH Practitioner - Optometry 7113157918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye 2 Eye PLLCGroup PAC ID 9234429713, 3 clinicians

Practice addresses (Care Compare)

76 Northeastern Blvd
Suite 23a
Nashua, NH 03062-3250
Phone (603) 598-1620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0919NHMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye 2 Eye PLLC Optometrist CurrentSince Apr 11, 2016 Accepting new patients
Christopher J Daldine, P.C. Optometrist Past Accepting new patients

Locations

262 Main Dunstable Rd
Nashua, NH 03062
Phone (603) 598-1620

76 Northeastern Blvd
Ste 23A
Nashua, NH 03062
Phone (603) 598-1620

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.

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468627200000",
    "number": "1467893149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 MAIN DUNSTABLE RD",
            "address_2": "ILLUMINEYES VISION CARE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621941",
            "telephone_number": "603-598-1620",
            "fax_number": "603-598-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 MAIN DUNSTABLE RD",
            "address_2": "ILLUMINEYES VISION CARE",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621941",
            "telephone_number": "603-598-1620",
            "fax_number": "603-598-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALDINE",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2016-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.