Individual provider Active NPI

Patricia Samuel Daldine, O.D.

  • Optometrist
  • Nashua, NH
National Provider Identifier
1578902292
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002786 Issued in PA
Practice address
262 Main Dunstable Rd
Nashua, NH 03062-1941
Phone
(603) 598-1620
NPI assigned
Jun 15, 2013
Last updated
Jun 15, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 OEG002786 PA Primary

Addresses

Primary practice location

262 Main Dunstable Rd
Nashua, NH 03062-1941

Mailing address

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

Other names 1

  • Patricia Palma Samuel Professional name

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
I20160613001513 NH Practitioner - Optometry 0941590426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002786PAMDOptometrist
0918NHMDPhysical 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1578902292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 MAIN DUNSTABLE RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621941",
            "telephone_number": "603-598-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 MAIN DUNSTABLE RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621941",
            "telephone_number": "603-598-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALDINE",
        "first_name": "PATRICIA",
        "middle_name": "SAMUEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "SAMUEL",
            "middle_name": "PALMA",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.