Active NPI
Nicholas Pike, OD
- Optometrist
- Manchester, NH
National Provider Identifier
1710594015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1026
- Practice address
- 1500 S Willow St
Manchester, NH 03103-3220 - Phone
- (860) 941-9615
- NPI assigned
- Sep 30, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1026 | NH | Primary |
Addresses
Primary practice location
1500 S Willow St
Manchester, NH 03103-3220
Mailing address
1500 S Willow St
Manchester, NH 03103-3220
Phone (603) 626-6621
Other practice location 1
99 Rockingham Park Blvd
Salem, NH 03079-2900
Phone (860) 941-9615
Other practice location 2
310 Daniel Webster Hwy Ste 259
Nashua, NH 03060-5707
Phone (860) 941-9615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1026 | NH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620950400000",
"number": "1710594015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S WILLOW ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033220",
"telephone_number": "603-626-6621",
"fax_number": "603-318-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S WILLOW ST",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031033220",
"telephone_number": "860-941-9615"
}
],
"practiceLocations": [
{
"address_1": "99 Rockingham Park Blvd",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "NH",
"postal_code": "030792900",
"country_code": "US",
"telephone_number": "860-941-9615",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 Daniel Webster Hwy Ste 259",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "030605707",
"country_code": "US",
"telephone_number": "860-941-9615",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIKE",
"first_name": "NICHOLAS",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-30",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "1026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.