Organization
GRANITE STATE EYE ASSOCIATES P.L.L.C.
Active
Organization
GRANITE STATE EYE ASSOCIATES P.L.L.C.
Active
Other names
Granite State Eye
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MALLIN OD (MANAGER)
(603) 602-7321
Entity
Organization
Contact information
Practice address
8 ROUTE 111, ATKINSON, NH 03811-5120
(603) 819-5327
Mailing address
16 PARTRIDGE RD, WINDHAM, NH 03087-1256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
03/15/2022
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