Individual
PETER A REMILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
865 LAFAYETTE RD, HAMPTON, NH 03842-1257
(603) 926-2722
(603) 926-2898
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002193
CT
152W00000X
Optometrist
1034
NH
152W00000X
Optometrist
3452
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004161056
—
CT
Enumeration date
05/11/2006
Last updated
11/02/2023
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