Organization
WINDHAM FAMILY EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER MARIE SHANLEY OD (OPTOMETRIST)
(603) 318-9108
Entity
Organization
Contact information
Practice address
63 RANGE RD, SUITE 104, WINDHAM, NH 03087-2098
(603) 318-9108
Mailing address
63 RANGE RD, SUITE 104, WINDHAM, NH 03087-2098
(603) 318-9108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0766
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437162963
NPI
NH
05
—
30354446
—
NH
Enumeration date
12/30/2006
Last updated
08/22/2020
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