Individual
DR. VINCENT P MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
474 WEST STREET, KEENE, NH 03431
(603) 352-7803
(603) 654-3165
Mailing address
474 WEST STREET, KEENE, NH 03431
(603) 352-7803
(603) 354-3165
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NH323
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0907885Y0NH02
ANTHEM
NH
01
—
2210633
CIGNA
NH
05
—
30356560
—
NH
Enumeration date
04/21/2006
Last updated
08/13/2013
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