Carolyn Letellier, ABOC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1695 Issued in NH

Practice address

486 White Mountain Hwy Ste D
Conway, NH 03818-4215

Phone

(603) 915-6478

NPI assigned

Jul 10, 2022

Last updated

Jul 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Broke Glasses Gal LLC

  dba Mount Washington Valley Vision

  • Optician
  • Conway, NH
  • NPI 1083341259
  NPD Authorized official

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

{
    "created_epoch": "1657411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1588398242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WHITELAW DR",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134421",
            "telephone_number": "603-915-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 WHITE MOUNTAIN HWY STE D",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038184215",
            "telephone_number": "603-915-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETELLIER",
        "first_name": "CAROLYN",
        "credential": "ABOC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-10",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NH",
            "license": "1695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika L Lavoie
• Steven Leavitt, WAIVER
• Stacie L Leclerc
• Jennifer Lee-Quinn
• Melinda Leone
• Shawnna Lewis, LICSW
• Life Examined LLC
• Lincare Inc.
• Kelly Locke
• Martha Long, LCMHC, LADC

• Optician in Conway, NH
• Providers in Conway, NH by specialty
• Optician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2022; 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.