Eyecare Specialties of New Hampshire PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE SPECIALTIES OF NEW HAMPSHIRE PC

Practice address

410 Miracle Mile Ste 13
Lebanon, NH 03766-2639

Phone

(630) 448-2575

NPI assigned

Mar 16, 2026

Organization subpart

No

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

Authorized official

Name

Melissa Allison

Title

Sr. Director MVC

Phone

(618) 604-5208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1639026818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739972",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753739972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MIRACLE MILE STE 13",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662639",
            "telephone_number": "630-448-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE SPECIALTIES OF NEW HAMPSHIRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SR. DIRECTOR MVC",
        "authorized_official_telephone_number": "618-604-5208"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Fuller Evans, CNM
• Rebecca Habenicht Evans, M.D.
• Sharene Evans, APRN
• Shira Evans, RD
• Kelly Kathleen Everhart, M.S., M. D.
• Hesham Ezz, MD
• Dominic Facciponte, MD
• Julie Patterson Fago, M.D.
• Leslie Hendricks Fall, MD
• Caroline J Fallon, APRN

• Optometrist in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.