| NPI | 1811656895 |
|---|---|
| Doing Business As | GRANITE STATE EYE |
| Entity Type | Organization |
| Authorized Contact | PATRICK MALLIN Manager 603-602-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2022-03-15 |