Individual
AMY L MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
39 EAST MAIN STREET, TILTON, NH 03276
(603) 286-3054
(603) 286-3610
Mailing address
68 OLD FORT LANE, DUNBARTON, NH 03046
(603) 774-6037
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0678
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09Y004033NH01
ANTHEM
NH
05
—
30352172
—
NH
01
—
330444
CIGNA
NH
Enumeration date
08/02/2005
Last updated
10/29/2015
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