Organization Active NPI

Lakes Region Opticians, Inc

  • Optician
  • Gilford, NH
National Provider Identifier
1851438543
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
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

Updated by the provider on Aug 24, 2007

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
30010616MedicaidNH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.