NPIMap

Organization Active NPI

Concord Ophthalmologic Associates PA

  • Ophthalmology Physician
  • Concord, NH
National Provider Identifier
1659775575
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
6873 Issued in NH
Legal business name
CONCORD OPHTHALMOLOGIC ASSOCIATES PA
Practice address
248 Pleasant St
Suite 1600
Concord, NH 03301-2588
Phone
(603) 224-2020
NPI assigned
Oct 21, 2014
Last updated
Oct 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Andre A D'Hemecourt, M.D.NPI 1144214461
Title
Owner
Phone
(603) 228-1104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 6873 NH Primary

Addresses

Primary practice location

248 Pleasant St
Suite 1600
Concord, NH 03301-2588

Mailing address

2 Pillsbury St
Suite 100
Concord, NH 03301-3523
Phone (603) 228-1104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141211001193 NH DME Supplier - Physician - OphthalmologyDME Supplier - Optician 0547250920 Practice locations: Concord, NH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2113004Concord Ophthalmologic Assoc PA248 Pleasant St, Ste 1600, Concord, NH 03301Certificate of waiverMay 12, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Concord Ophthalmologic Associates,248 Pleasant St, Concord, NH 03301-2588(603) 224-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1993

National Provider Directory

National Provider Directory
Tax ID family
Concord Ophthalmologic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2 Pillsbury St
Ste 100
Concord, NH 03301
Phone (603) 224-2020

248 Pleasant St
Ste 1600
Concord, NH 03301
Phone (603) 224-2020

9 S Spring St
Concord, NH 03301
Phone (603) 228-1101

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1659775575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PILLSBURY ST",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013523",
            "telephone_number": "603-228-1104",
            "fax_number": "603-228-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST",
            "address_2": "SUITE 1600",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033012588",
            "telephone_number": "603-224-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD OPHTHALMOLOGIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "D'HEMECOURT",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-228-1104",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "6873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.