| NPI | 1801100854 |
|---|---|
| Former Legal Business Name | NEB RETINA VISION LLC |
| Entity Type | Organization |
| Authorized Contact | SALLY-ANN HIGGINS Billing Manager 603-479-6455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NH 12932) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-12-13 |