| Northeast Corneal Consultants, Pa | |
|
155 Griffin Rd., Suite 1, Portsmouth, NH 03801 | |
| (603) 430-5225 | |
| (603) 430-1230 |
| Full Name | Northeast Corneal Consultants, Pa |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 155 Griffin Rd., Portsmouth, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699714329 | NPI | - | NPPES |
| DB2576 | Other | NH | RAILROAD MEDICARE |
| 129370000 | Medicaid | ME | |
| 30009219 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Richard J Lasonde |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1295701985 PECOS PAC ID: 0840194106 Enrollment ID: I20060117000431 |
| Provider Name | Naila Aslam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265480958 PECOS PAC ID: 2668640947 Enrollment ID: I20110713000404 |
| Provider Name | Jill Federico |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083080881 PECOS PAC ID: 0143521187 Enrollment ID: I20160928001553 |
| Provider Name | Edward H. Jaccoma |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982681367 PECOS PAC ID: 4486680923 Enrollment ID: I20200902002006 |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Corneal Consultants, Pa 155 Griffin Rd # 1, Portsmouth, NH 03801-4125 Ph: (603) 430-5225 | Northeast Corneal Consultants, Pa 155 Griffin Rd., Suite 1, Portsmouth, NH 03801 Ph: (603) 430-5225 |