Organization
NORTHEAST CORNEAL CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J LASONDE MD (OWNER)
(603) 430-5225
Entity
Organization
Contact information
Practice address
155 GRIFFIN RD., SUITE 1, PORTSMOUTH, NH 03801
(603) 430-5225
(603) 430-1230
Mailing address
155 GRIFFIN RD # 1, PORTSMOUTH, NH 03801-4125
(603) 430-5225
(603) 430-1230
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129370000
—
ME
05
—
30009219
—
NH
01
—
DB2576
RAILROAD MEDICARE
NH
Enumeration date
06/06/2006
Last updated
10/01/2015
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