Retina Vision Center LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

12932 Issued in NH

Legal business name

RETINA VISION CENTER LLC

Practice address

107 Riverway PL
Bedford, NH 03110-6730

Phone

(603) 714-1665

Fax

(603) 836-5495

NPI assigned

Aug 2, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Sally-Ann Higgins

Title

Billing Manager

Phone

(603) 479-6455

Specialties & licenses 1

Addresses

Other names 1

• neb retina vision LLC Former legal business name

Locations

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1801100854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106730",
            "telephone_number": "603-714-1665",
            "fax_number": "603-836-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 RIVERWAY PL",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106730",
            "telephone_number": "603-714-1665",
            "fax_number": "603-836-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "SALLY-ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "603-479-6455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": "12932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "neb retina vision LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ophthalmology Physician in Bedford, NH
• Providers in Bedford, NH by specialty
• Ophthalmology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.