Organization
CONCORD EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD S HALL MD (PRESIDENT)
(603) 224-2020
Entity
Organization
Contact information
Practice address
248 PLEASANT ST, SUITE 1600, CONCORD, NH 03301
(603) 224-2020
(603) 227-9992
Mailing address
514 SOUTH ST, BOW, NH 03304-3419
(603) 224-2020
(603) 227-9992
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NH
207W00000X
Ophthalmology Physician
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009811
—
NH
01
—
33044
CIGNA
—
01
—
50NH01383NH02
ANTHEM
—
01
—
5974249
AETNA
—
01
—
CC9026
MEDICARE RR
—
01
—
X760
HARVARD PILGRIM
—
Enumeration date
09/05/2006
Last updated
01/06/2010
Update your record
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