Provider Demographics
NPI:1831326438
Name:DONAHUE, CHRISTINE CABAN (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:CABAN
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:MARIE
Other - Last Name:CABAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:581 SECOND ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-5200
Mailing Address - Country:US
Mailing Address - Phone:603-668-2010
Mailing Address - Fax:
Practice Address - Street 1:581 SECOND ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-5200
Practice Address - Country:US
Practice Address - Phone:603-668-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0830152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist