Organization
LACONIA EYE ASSOCIATES PA
Active
Other names
dba: Laconia Eye & Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS R SCOTT MD (PRESIDENT)
(603) 528-2606
Entity
Organization
Contact information
Practice address
368 HOUNSELL AVE, GILFORD, NH 03249-6922
(603) 528-2606
(603) 528-2805
Mailing address
PO BOX 7625, GILFORD, NH 03247-7625
(603) 528-2606
(603) 528-2805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
832
NH
207W00000X
Ophthalmology Physician
10993
NH
207W00000X
Ophthalmology Physician
8400
NH
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30212353
—
NH
Enumeration date
02/07/2007
Last updated
06/02/2010
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