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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