Organization Active NPI

Fields of Vision Eye Care Inc

  • Optometrist
  • Lebanon, NH
National Provider Identifier
1487952545
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0696 Issued in NH
Legal business name
FIELDS OF VISION EYE CARE INC
Practice address
410 Miracle Mile Plaza
Suite 13
Lebanon, NH 03766
Phone
(603) 448-2575
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Chris Fields, ODNPI 1548378532
Title
Owner
Phone
(603) 448-2575

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0696 NH Primary

Addresses

Primary practice location

410 Miracle Mile Plaza
Suite 13
Lebanon, NH 03766

Mailing address

410 Miracle Mile Plaza
Suite 13
Lebanon, NH 03766
Phone (603) 448-2575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110427000051 NH Part B Supplier - Clinic/Group Practice 1456536929 Receives reassigned benefits from 1 practitioner
Practice locations: Lebanon, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2056607Fields of Vision Eye Care Inc410 Miracle Mile Suite 13, Lebanon, NH 03766Certificate of waiverMar 31, 2027

National Provider Directory

National Provider Directory

Locations

410 Miracle Mile
Ste 13
Lebanon, NH 03766
Phone (603) 448-2575

410 Miracle Mile
Lebanon, NH 03766
Phone (603) 276-3260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1487952545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MIRACLE MILE PLAZA",
            "address_2": "SUITE 13",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-448-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MIRACLE MILE PLAZA",
            "address_2": "SUITE 13",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-448-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIELDS OF VISION EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-448-2575",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.