Active NPIIndividual providerSole proprietor

Clarissa D Lewis, OD

Optometrist in Manchester, New Hampshire

NPI Number1558845669
Practice location
1245 Elm St, Manchester, NH 03101-1308
Fax
603-935-5392
Last updated
October 22, 2020

Clarissa D. Lewis is an Optometrist based in Manchester, NH. Clarissa D. Lewis practices in Manchester, NH and has the professional credentials of OD. The NPI Number for Clarissa D. Lewis is 1558845669 and holds a License No. ODTG00675 (RI). The current practice location address for Clarissa D. Lewis is 1245 Elm St, Manchester, NH 03101-1308 and can be reached out via phone at 603-626-9500 and via fax at 603-935-5392.

Provider Profile Details

NPI Number
1558845669
Provider Name
Clarissa D. Lewis
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
1245 Elm St, Manchester, NH 03101-1308
Phone Number
603-626-9500
Fax Number
603-935-5392
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 25, 2018
Last Update Date
October 22, 2020
Certification Date
October 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1245 Elm St
Manchester, NH 03101-1308
Zip
03101-1308
Phone Number
603-626-9500
Fax Number
603-935-5392
Manchester, NH 03101Get directions →

Provider Business Mailing Address Details

Address
145 Hollis St
Manchester, NH 03101-1235
City
Manchester
State
NH
Zip
03101-1235
Phone Number
603-626-9500
Fax Number
603-935-5392

License Information

License Number (1)
ODTG00675
License State (1)
RI
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
5316
License State (2)
MA
Taxonomy (2)
Optometrist · 152W00000X
License Number (3)
1015
License State (3)
NH
Taxonomy (3)
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 Clarissa D Lewis, OD?

The NPI number of Clarissa D Lewis, OD is 1558845669. It was assigned on September 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Clarissa D Lewis, OD?

Clarissa D Lewis, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in RI under license number ODTG00675.

Where does Clarissa D Lewis, OD practice?

The practice location is 1245 Elm St, Manchester, NH 03101-1308. The office can be reached at 603-626-9500 (phone) or 603-935-5392 (fax).

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 1558845669 directly on the NPPES registry website.

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