| Mackay Vision Center, Llc | |
|
207 Meetinghouse Rd Bedford NH 03110-6090 | |
| (603) 668-2771 | |
| (603) 627-3115 |
| Full Name | Mackay Vision Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 207 Meetinghouse Rd, Bedford, New Hampshire |
| Authorized Official Name and Position | David Pope Mackay (MEMBER) |
| Authorized Official Contact | 6036682771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mackay Vision Center, Llc 207 Meetinghouse Rd Bedford NH 03110-6090 Ph: (603) 668-2771 | Mackay Vision Center, Llc 207 Meetinghouse Rd Bedford NH 03110-6090 Ph: (603) 668-2771 |
| NPI Number | 1407001241 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 11/20/2008 |
| Medicare PECOS PAC ID | 0345304424 |
|---|---|
| Medicare Enrollment ID | O20090204000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407001241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0627 (New Hampshire) | Primary |
| Provider Name | David P Mackay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124181177 PECOS PAC ID: 6406874221 Enrollment ID: I20051109000966 |
| Provider Name | Eva Fung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265592919 PECOS PAC ID: 4587710736 Enrollment ID: I20090914000350 |
| Provider Name | Karl Cameron Engelhart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033766647 PECOS PAC ID: 4880926831 Enrollment ID: I20191024002141 |
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