Organization Active NPI

Cocheco Eye Care, PLLC

  • Optometrist
  • Dover, NH
National Provider Identifier
1629774047
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COCHECO EYE CARE, PLLC
Practice address
15 Portland Ave
Dover, NH 03820-3521
Phone
(603) 742-7371
Fax
(603) 740-9500
NPI assigned
Feb 7, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Authorized official

Name
Costas Andrew Frangos, ODNPI 1649789793
Title
Owner/Optometrist
Phone
(603) 742-7371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

15 Portland Ave
Dover, NH 03820-3521

Mailing address

15 Portland Ave
Dover, NH 03820-3521
Phone (603) 742-7371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230519000041 NH Part B Supplier - Clinic/Group Practice 4789040692 Receives reassigned benefits from 2 practitioners
Practice locations: Dover, NH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1629774047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PORTLAND AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203521",
            "telephone_number": "603-742-7371",
            "fax_number": "603-740-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PORTLAND AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203521",
            "telephone_number": "603-742-7371",
            "fax_number": "603-740-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHECO EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "FRANGOS",
        "authorized_official_first_name": "COSTAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "603-742-7371",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.