Organization Active NPI

Nutfield Ophthalmology, PC

Doing business as Nutfield Eye Associates

  • Ophthalmology Physician
  • Londonderry, NH
National Provider Identifier
1508899287
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NUTFIELD OPHTHALMOLOGY, PC
Doing business as
Nutfield Eye Associates
Practice address
3 Orchard View Dr
Londonderry, NH 03053-6606
Phone
(603) 421-0022
Fax
(603) 421-0259
NPI assigned
Jul 8, 2006
Last updated
Apr 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Elizabeth Cocozza
Title
Practice Administrator
Phone
(603) 434-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

3 Orchard View Dr
Londonderry, NH 03053-6606

Mailing address

3 Orchard View Dr
Londonderry, NH 03053-6606
Phone (603) 421-0022

Other identifiers 1

IdentifierTypeStateIssuer
30216545MedicaidNH

Other names 1

  • Nutfield Eye Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060808000279 NH Part B Supplier - Clinic/Group Practice 0840293031 Receives reassigned benefits from 5 practitioners
Practice locations: Derry, NH; Londonderry, NH

National Provider Directory

National Provider Directory

Locations

43 Birch St
Derry, NH 03038
Phone (603) 434-1577

Interoperability endpoints

  • Direct secure messaging: ostetsyuk@nea.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 6

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1508899287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ORCHARD VIEW DR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030536606",
            "telephone_number": "603-421-0022",
            "fax_number": "603-421-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ORCHARD VIEW DR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030536606",
            "telephone_number": "603-421-0022",
            "fax_number": "603-421-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTFIELD OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "COCOZZA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "603-434-3937"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30216545",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutfield Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.