Eye Care Associates of Derry PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE ASSOCIATES OF DERRY PC

Practice address

55 Crystal Ave
Hood Commons
Derry, NH 03038-1702

Phone

(603) 434-2020

Fax

(603) 437-1260

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis Woosley, ABOC

Title

Manager

Phone

(603) 434-2020

Specialties & licenses 1

Addresses

Other names 1

• Opticare Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: drnelson@emeryeye.eyefinity-direct.com
• Direct secure messaging: keithemery@emeryeye.eyefinity-direct.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Alan Emery, OD

  • Optometrist
  • Derry, NH
  • NPI 1336226547
  Medicare reassignment Care Compare group NPD
• Diane J Nelson, OD

  • Optometrist
  • Derry, NH
  • NPI 1861579070
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1831276922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CRYSTAL AVE",
            "address_2": "HOOD COMMONS",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381702",
            "telephone_number": "603-434-2020",
            "fax_number": "603-437-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CRYSTAL AVE",
            "address_2": "HOOD COMMONS",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381702",
            "telephone_number": "603-434-2020",
            "fax_number": "603-437-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF DERRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "WOOSLEY",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-434-2020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Opticare Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Entyre Care New Hampshire LLC
• Daniel Epelbaum, MD
• Sonia Marie Escabi
• Lillian E Eterian, DC
• Everest Services LLC
• Benjamin Bentley Faitelson, MD
• Jessica Farrell, LCMHC
• Nancy Farrell
• Lyndey Earline Ferguson
• Stephanie Ferreira

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.