Organization
KEENE EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY ROETTIGER OD (OWNER)
(603) 357-4090
Entity
Organization
Contact information
Practice address
338 MAIN ST, KEENE, NH 03431-4146
(603) 357-4090
(603) 357-5081
Mailing address
338 MAIN ST, KEENE, NH 03431-4146
(603) 357-4090
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0777
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083011
—
NH
05
—
3097178
—
NH
Enumeration date
04/22/2016
Last updated
04/22/2016
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