Lakes Region Opticians Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

LAKES REGION OPTICIANS INC

Practice address

240 S Main St
Medical Arts Center
Wolfeboro, NH 03894-4411

Phone

(603) 569-5442

Fax

(603) 569-4378

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Clayton Richard Irving, DISPENSING OPTICIAN

Title

Ceo

Phone

(603) 569-5442

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1508902164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038941750",
            "telephone_number": "603-569-5442",
            "fax_number": "603-569-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S MAIN ST",
            "address_2": "MEDICAL ARTS CENTER",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944411",
            "telephone_number": "603-569-5442",
            "fax_number": "603-569-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKES REGION OPTICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "603-569-5442",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DISPENSING OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010616",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Kimball
• Janice A. King, PA-C
• Kaylyn Kirk, DO
• Stephen John Kirwan, O.D.
• Yvonne Varrieur Klotz
• Pascal Rene Lavarte, D.C.
• Jillian M. Lawlor, ATC, LATC
• Joshua D Lee, PT, DPT
• Sheri L Lefty, DDS
• Kimberly Lehmann

• All providers in Wolfeboro, NH
• Optician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.