Organization Active NPI

Stephen P. Byrnes, O.D.

  • Optometrist
  • Londonderry, NH
National Provider Identifier
1710150883
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STEPHEN P. BYRNES, O.D.
Practice address
80 Nashua Rd
Londonderry, NH 03053-3426
Phone
(603) 434-4449
Fax
(603) 432-6059
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Stephen P. Byrnes, O.D.NPI 1245379924
Title
Owner
Phone
(603) 434-4449

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

80 Nashua Rd
Londonderry, NH 03053-3426

Mailing address

80 Nashua Rd
P O Box 579
Londonderry, NH 03053-3426
Phone (603) 434-4449

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090108000347 NH Part B Supplier - Clinic/Group Practice 2668535295 Receives reassigned benefits from 2 practitioners
Practice locations: Londonderry, NH

National Provider Directory

National Provider Directory

Locations

80 Nashua Rd
Bldg A
Londonderry, NH 03053
Phone (603) 434-4449

80 Nashua Rd
Londonderry, NH 03053
Phone (603) 434-4449

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1710150883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NASHUA RD",
            "address_2": "P O BOX 579",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533426",
            "telephone_number": "603-434-4449",
            "fax_number": "603-432-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NASHUA RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533426",
            "telephone_number": "603-434-4449",
            "fax_number": "603-432-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN P. BYRNES, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "BYRNES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-434-4449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.