Individual
DR. SAMUEL STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
104 MEADOW ST, LITTLETON, NH 03561-4026
(603) 444-2592
Mailing address
104 MEADOW ST, LITTLETON, NH 03561-4026
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1042
NH
152W00000X
Optometrist
OEG003662
PA
Other
Enumeration date
06/16/2020
Last updated
08/27/2021
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