Provider Demographics
NPI:1962750786
Name:SANBORN EYE ASSOCIATES
Entity type:Organization
Organization Name:SANBORN EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:SANBORN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:617-756-0891
Mailing Address - Street 1:859 PROVINCE RD
Mailing Address - Street 2:
Mailing Address - City:BARNSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03218
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:304 SHEEP DAVIS ROAD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:617-756-0891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0869261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty