Individual provider Active NPI

Linda Squillace Gilligan, OD

  • Optometrist
  • Petersborough, NH
National Provider Identifier
1649264805
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0641 Issued in NH
Practice address
Our Town Eye Care
129 Wiltin Road
Petersborough, NH 03458
Phone
(603) 924-9591
Fax
(603) 924-9593
NPI assigned
Sep 2, 2005
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0641 NH Primary

Addresses

Primary practice location

Our Town Eye Care
129 Wiltin Road
Petersborough, NH 03458

Mailing address

Our Town Eye Care
129 Wiltin Road
Petersborough, NH 03458
Phone (603) 924-9591

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
I20051227000192 NH Practitioner - Optometry 8729000369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Marc TyszkoGroup PAC ID 9638356306, 2 clinicians

Practice addresses (Care Compare)

129 Wilton Rd
Peterborough, NH 03458-1749
Phone (603) 924-9591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
641NHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Marc Tyszko Optometrist CurrentSince Mar 5, 2019 Accepting new patients
John F Minteer OD PLLC PastSince Mar 5, 2019 Accepting new patients

Locations

129 Wilton Rd
Peterborough, NH 03458
Phone (603) 924-9591

129 Wilton Rd
Ste A
Peterborough, NH 03458
Phone (603) 924-9591

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1649264805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OUR TOWN EYE CARE",
            "address_2": "129 WILTIN ROAD",
            "city": "PETERSBOROUGH",
            "state": "NH",
            "postal_code": "03458",
            "telephone_number": "603-924-9591",
            "fax_number": "603-924-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OUR TOWN EYE CARE",
            "address_2": "129 WILTIN ROAD",
            "city": "PETERSBOROUGH",
            "state": "NH",
            "postal_code": "03458",
            "telephone_number": "603-924-9591",
            "fax_number": "603-924-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIGAN",
        "first_name": "LINDA",
        "middle_name": "SQUILLACE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.