Active NPI
Lakes Region Opticians, Inc
- Optician
- Gilford, NH
National Provider Identifier
1851438543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- LAKES REGION OPTICIANS, INC
- Practice address
- 36 Country Club Rd
Village West II
Gilford, NH 03249-6978 - Phone
- (603) 524-2050
- Fax
- (603) 524-2078
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Clayton Richard Irving, DISPENSING OPTICIAN
- Title
- Ceo
- Phone
- (603) 524-2050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
36 Country Club Rd
Village West II
Gilford, NH 03249-6978
Mailing address
PO Box 7605
Laconia, NH 03247-7605
Phone (603) 524-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30010616 | Medicaid | NH |
National Provider Directory
National Provider DirectoryLocations
36 Country Club Rd
Gilford, NH 03249
Phone (603) 524-2050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187913600000",
"number": "1851438543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7605",
"city": "LACONIA",
"state": "NH",
"postal_code": "032477605",
"telephone_number": "603-524-2050",
"fax_number": "603-524-2078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 COUNTRY CLUB RD",
"address_2": "VILLAGE WEST II",
"city": "GILFORD",
"state": "NH",
"postal_code": "032496978",
"telephone_number": "603-524-2050",
"fax_number": "603-524-2078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKES REGION OPTICIANS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2007-08-24",
"status": "A",
"authorized_official_last_name": "IRVING",
"authorized_official_first_name": "CLAYTON",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "603-524-2050",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DISPENSING OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30010616",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.