MR. FABRICE BRENOT (NPI# 1003858457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003858457 |
| Entity Type | Individual |
| Full Name | MR. FABRICE BRENOT |
| Credential | O.D. |
| Practice Address |
100 Hitchcock Way Manchester NH 03104-4125 |
| Practice Telephone | 6036952500 |
| Mailing Telephone | 6036952500 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2011-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | NH 0704 | NH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30351916 | 05 |
| Street Address |
100 HITCHCOCK WAY |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649268368 | Anthony H Repucci | Pediatrics | 100 Hitchcock Way, Dartmouth Hitchcock - Pediatric Gastroenterology, Manchester, NH 03104-4125 | 2005-10-06 |
| 1518589530 | Dartmouth-hitchcock Clinic | Durable Medical Equipment & Medical Supplies | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-05-13 |
| 1609407063 | Ashley Marie Hardy | Dietitian, Registered | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2020-02-03 |
| 1134764442 | Wendy Ann Cyr | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-11-11 |
| 1003477613 | Stephanie M Winn | Nurse Practitioner | 100 Hitchcock Way, Internal Medicine/pediatrics, Manchester, NH 03104 | 2019-06-25 |
| 1003475914 | Jason Akerman | Urology | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-06-13 |
| 1134681711 | Tonya M Binder | Nurse Practitioner | 100 Hitchcock Way, Dartmouth Hitchcock - Gastroenterology, Manchester, NH 03104-4125 | 2019-04-03 |
| 1740745926 | Laura J Vanbrocklin | Nurse Practitioner | 100 Hitchcock Way, Cardiology, Manchester, NH 03104 | 2019-02-01 |
| 1538633599 | Debra A Hansen | Social Worker | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2019-01-14 |
| 1659842466 | Michelle F Hill | Registered Nurse | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2018-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750836649 | Amanda Bilunas | Optometrist | 238 Tolland Tpke, G, Manchester, CT 06042-1744 | 2016-08-20 |
| 1457737447 | Samantha Mein | Optometrist | 581 2nd St, Manchester, NH 03102-5200 | 2015-08-03 |
| 1083098156 | Stephanie Sturgis | Optometrist | 397b Broad Street, Manchester, CT 06040 | 2015-07-17 |
| 1568703387 | Nicholas Olberding | Optometrist | 225 W Main St # 308, Manchester, IA 52057-1533 | 2013-03-04 |
| 1356692214 | Complete Family Eyecare, LLC | Optometrist | 238g Tolland Tpke, Manchester, CT 06042-5706 | 2012-10-01 |
| 1154698702 | Preventative & Regenerative Eye Care, LLC | Optometrist | 1107 Brittany Parkway Dr, Manchester, MO 63011-4327 | 2011-11-28 |
| 1891075727 | Bhavika Mahesh Patidar | Optometrist | 232 Maple Springs Dr, Manchester, TN 37355-3764 | 2011-08-23 |
| 1083918692 | Contemporary Vision Center, LLC | Optometrist | 971 Brittany Parkway Drive, Manchester, MO 63011 | 2010-12-23 |
| 1932417870 | West County Eye Care LLC | Optometrist | 23 Stonegate Ctr, Manchester, MO 63088-1215 | 2010-09-14 |
| 1386957157 | Wei Zhu | Optometrist | 344 Buckland Hills Dr, Manchester, CT 06042-8700 | 2010-07-21 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.