Realeyes Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

799G Issued in NH

Legal business name

REALEYES EYE CARE, LLC

Practice address

47B Poliquin Dr
Conway, NH 03818-1380

Phone

(734) 674-4738

NPI assigned

Aug 9, 2011

Organization subpart

No

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

Authorized official

Name

Brian Sponseller, M.D.NPI 1891984647

Title

Owner

Phone

(734) 674-4738

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Brian Sponseller, MD

  • Family Medicine Physician
  • North Conway, NH
  • NPI 1891984647
  NPD (past) Authorized official
• Nadine R Hickey, PTA

  • Physical Therapy Assistant
  • Center Ossipee, NH
  • NPI 1245449073
  NPD (past)
• Cathy Ann Tsiros, MS CCC-SLP

  • Speech-Language Pathologist
  • Ossipee, NH
  • NPI 1477716868
  NPD (past)

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1770862716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038181380",
            "telephone_number": "734-674-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47B POLIQUIN DR",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038181380",
            "telephone_number": "734-674-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALEYES EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "SPONSELLER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-674-4738",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "799G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770862716",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dean P Perry
• Meridith Baker Perry, APRN
• Kimberly Phillips
• Kathleen P Plante, MS CCC-SLP
• Progressions Physical Therapy LLC
• Danielle Reichert, REGISTERED NURSE
• Iris Locso Rhodes, DPT
• Lara Rice
• Margaret Mary Riforgiato, ARNP
• Pamela Robinson, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.