Active NPIIndividual provider

Dr. Samuel Stack, OD

Optometrist in Littleton, New Hampshire

NPI Number1114542149
Practice location
104 Meadow St, Littleton, NH 03561-4026
Fax
—
Last updated
August 27, 2021

Samuel Stack is an Optometrist based in Littleton, NH. Samuel Stack practices in Littleton, NH and has the professional credentials of OD. The NPI Number for Samuel Stack is 1114542149 and holds a License No. OEG003662 (PA). The current practice location address for Samuel Stack is 104 Meadow St, Littleton, NH 03561-4026 and can be reached out via phone at 603-444-2592.

Provider Profile Details

NPI Number
1114542149
Provider Name
Samuel Stack
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
104 Meadow St, Littleton, NH 03561-4026
Phone Number
603-444-2592
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2020
Last Update Date
August 27, 2021
Certification Date
August 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Meadow St
Littleton, NH 03561-4026
Zip
03561-4026
Phone Number
603-444-2592
Littleton, NH 03561Get directions →

Provider Business Mailing Address Details

Address
104 Meadow St
Littleton, NH 03561-4026
City
Littleton
State
NH
Zip
03561-4026

License Information

License Number (1)
OEG003662
License State (1)
PA
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
1042
License State (2)
NH
Taxonomy (2)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Samuel Stack, OD?

The NPI number of Dr. Samuel Stack, OD is 1114542149. It was assigned on June 16, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Samuel Stack, OD?

Dr. Samuel Stack, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PA under license number OEG003662.

Where does Dr. Samuel Stack, OD practice?

The practice location is 104 Meadow St, Littleton, NH 03561-4026. The office can be reached at 603-444-2592 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114542149 directly on the NPPES registry website.

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