Active NPI
Norman G Michaud, O.D.
- Optometrist
- Goffstown, NH
National Provider Identifier
1629064944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 210
- Practice address
- 24 Main Street
Goffstown, NH 03045-1708 - Phone
- (603) 497-3622
- Fax
- (603) 497-5325
- NPI assigned
- Sep 22, 2005
- Reactivated
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 210 | NH | Primary |
Addresses
Primary practice location
24 Main Street
Goffstown, NH 03045-1708
Mailing address
24 Main Street
Goffstown, NH 03045-1708
Phone (603) 497-3622
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020443084 | Other | NH | INDEPENDENT INSURANCE PIN |
| 73020 | Other | NH | CIGNA PIN |
| 0906096YONH01 | Other | NH | ANTHEM BC/BS PIN |
| 1051326 | Other | NH | HARVARD PILGRIM PIN |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210 | NH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman G. Michaud, OD | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Goffstown, NH
- NPI 1447214051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1629064944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 MAIN STREET",
"city": "GOFFSTOWN",
"state": "NH",
"postal_code": "030451708",
"telephone_number": "603-497-3622",
"fax_number": "603-497-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 MAIN STREET",
"city": "GOFFSTOWN",
"state": "NH",
"postal_code": "030451708",
"telephone_number": "603-497-3622",
"fax_number": "603-497-5325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAUD",
"first_name": "NORMAN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2009-11-17",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT INSURANCE PIN",
"identifier": "020443084",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "73020",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS PIN",
"identifier": "0906096YONH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM PIN",
"identifier": "1051326",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goffstown, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.