NPIMap

Organization Active NPI

Optometry Onsite New England PLLC

  • Clinic/Center
  • Bow, NH
National Provider Identifier
1811633944
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
OPTOMETRY ONSITE NEW ENGLAND PLLC
Practice address
11 Windsor Rd
Bow, NH 03304-5218
Phone
(603) 568-9257
NPI assigned
May 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Dr. Jamy Van Wyck Borbidge, ODNPI 1639433774
Title
Manager
Phone
(603) 568-9257

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Community Health Clinic/Center 261QC1500X

Addresses

Primary practice location

11 Windsor Rd
Bow, NH 03304-5218

Mailing address

11 Windsor Rd
Bow, NH 03304-5218
Phone (603) 568-9257

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1811633944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WINDSOR RD",
            "city": "BOW",
            "state": "NH",
            "postal_code": "033045218",
            "telephone_number": "603-568-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WINDSOR RD",
            "city": "BOW",
            "state": "NH",
            "postal_code": "033045218",
            "telephone_number": "603-568-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY ONSITE NEW ENGLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "BORBIDGE",
        "authorized_official_first_name": "JAMY",
        "authorized_official_middle_name": "VAN WYCK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-568-9257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bow, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.