NPIMap

Organization Active NPI

Concord Ophthalmologic Associates PA

Doing business as The Eye Center of Concord

  • Ophthalmology Physician
  • Concord, NH
National Provider Identifier
1831183268
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CONCORD OPHTHALMOLOGIC ASSOCIATES PA
Doing business as
The Eye Center of Concord
Practice address
2 Pillsbury St Ste 100
Concord, NH 03301
Phone
(603) 228-1104
Fax
(603) 228-7061
NPI assigned
Aug 31, 2005
Last updated
Aug 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
Stephen Veiner
Title
Admin
Phone
(603) 224-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NH Primary
Eyewear Supplier 332H00000X NH

Addresses

Primary practice location

2 Pillsbury St Ste 100
Concord, NH 03301

Mailing address

2 Pillsbury St Ste 100
Concord, NH 03301-3502
Phone (603) 228-1104

Other identifiers 4

IdentifierTypeStateIssuer
2184123OtherNHANTHEM NH
441183292OtherNHRR MEDICARE GROUP
82184123MedicaidNH
CC8278OtherNHRR MEDICARE EDI GROUP #

Other names 1

  • THE EYE CENTER OF CONCORD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040517001006 NH Part B Supplier - Clinic/Group Practice 0547250920 Receives reassigned benefits from 15 practitioners
Practice locations: Concord, NH
O20100930063042 NH DME Supplier - Physician - OphthalmologyDME Supplier - Physician - OptometristDME Supplier - Optician 0547250920 Practice locations: Concord, NH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0943857Concord Ophthalmologic Associates2 Pillsbury Street, Suite 100, Concord, NH 03301Certificate of waiverMar 14, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Concord Ophthalmologic Assoc2 Pillsbury St, Concord, NH 03301-3549(603) 224-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1993

National Provider Directory

National Provider Directory
Tax ID family
Concord Ophthalmologic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: ageary@concord.intellechartdirect.net
  • Direct secure messaging: bhall@concord.intellechartdirect.net
  • Direct secure messaging: bsmith@concord.intellechartdirect.net
  • Direct secure messaging: cmarando@concord.intellechartdirect.net
  • Direct secure messaging: cmorse@concord.intellechartdirect.net
  • Direct secure messaging: dweinberg@concord.intellechartdirect.net
  • Direct secure messaging: efogel@concord.intellechartdirect.net
  • Direct secure messaging: efoley@concord.intellechartdirect.net
  • Direct secure messaging: gdeckelbaum@concord.intellechartdirect.net
  • Direct secure messaging: jrheault@concord.intellechartdirect.net
  • Direct secure messaging: kgervasio@concord.intellechartdirect.net
  • Direct secure messaging: mszal@concord.intellechartdirect.net
  • Direct secure messaging: ostetsyuk@concord.intellechartdirect.net
  • Direct secure messaging: pdegregorio@concord.intellechartdirect.net
  • Direct secure messaging: trichardson@concord.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1831183268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PILLSBURY ST STE 100",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033013502",
            "telephone_number": "603-228-1104",
            "fax_number": "603-228-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PILLSBURY ST STE 100",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-228-1104",
            "fax_number": "603-228-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD OPHTHALMOLOGIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "VEINER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "603-224-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NH",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NH",
            "identifier": "2184123",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "441183292",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82184123",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE EDI GROUP #",
            "identifier": "CC8278",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE EYE CENTER OF CONCORD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE EYE CENTER OF CONCORD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.