Individual provider Active NPI

Alvin Kam Mun, O.D.

  • Optometrist
  • Manchester, NH
National Provider Identifier
1548257355
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
426 Issued in NH
Practice address
1500 S Willow St
Lenscrafters
Manchester, NH 03103-3220
Phone
(603) 626-6621
Fax
(603) 645-9483
NPI assigned
Oct 6, 2005
Last updated
Jul 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 426 NH Primary

Addresses

Primary practice location

1500 S Willow St
Lenscrafters
Manchester, NH 03103-3220

Mailing address

1500 S Willow St
Lenscrafters
Manchester, NH 03103-3220
Phone (603) 626-6621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
426NHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1548257355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S WILLOW ST",
            "address_2": "LENSCRAFTERS",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033220",
            "telephone_number": "603-626-6621",
            "fax_number": "603-645-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S WILLOW ST",
            "address_2": "LENSCRAFTERS",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033220",
            "telephone_number": "603-626-6621",
            "fax_number": "603-645-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUN",
        "first_name": "ALVIN",
        "middle_name": "KAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.