Individual
DOUGLAS P BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2 PILLSBURY ST STE 100, CONCORD, NH 03301-3502
(603) 228-1104
(603) 228-7061
Mailing address
2 PILLSBURY ST STE 100, CONCORD, NH 03301-3502
(603) 228-1104
(603) 228-7061
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0434
NH
152WC0802X
Corneal and Contact Management Optometrist
Primary
0434
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214001001
CIGNA
NH
01
—
0905184Y0NH01
ANTHEM NH
NH
01
—
180027368
RAILROAD MEDICARE
NH
05
—
99002291
—
NH
Enumeration date
08/31/2005
Last updated
11/09/2007
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