Individual
CHRIS R FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
410 MIRACLE MILE PLAZA, SUITE 13, LEBANON, NH 03766
(603) 448-2575
(603) 448-2710
Mailing address
410 MIRACLE MILE PLAZA, SUITE 13, LEBANON, NH 03766
(603) 448-2575
(603) 448-2710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0300000299
VT
152W00000X
Optometrist
Primary
0696
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5453
—
VT
05
—
30350494
—
NH
Enumeration date
08/29/2006
Last updated
03/31/2011
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