DR. ROGER JOHN CONNELLY (NPI# 1205903986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205903986 |
| Entity Type | Individual |
| Full Name | DR. ROGER JOHN CONNELLY |
| Credential | OD |
| Practice Address |
167 S Broadway Salem NH 03079-3379 |
| Practice Telephone | 6038935288 |
| Practice Fax Number | 6038934663 |
| Mailing Telephone | 6038935288 |
| Mailing Fax Number | 6038934663 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2009-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4560 | MA | Eye and Vision Services Providers |
| Street Address |
167 S BROADWAY |
| City | SALEM |
| State | NH |
| Zip Code | 03079-3379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043296445 | Brenda Joyce Fogarty | Optometrist | 167 S Broadway, Salem, NH 03079-3309 | 2005-12-16 |
| 1255881249 | Carol Ma | Pharmacist | 167 S Broadway, Salem, NH 03079-3379 | 2016-10-13 |
| 1649603820 | Mai Hua | Pharmacist | 167 S Broadway, Salem, NH 03079-3379 | 2013-08-12 |
| 1962557223 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 167 S Broadway, Kmart Plaza, Salem, NH 03079-3309 | 2007-01-24 |
| 1558477547 | Brenda J. Fogarty Od &assoc. P.a. | Optometrist | 167 S Broadway, Salem, NH 03079-3309 | 2006-08-22 |
| 1902811987 | Walgreen Eastern Co Inc | Durable Medical Equipment & Medical Supplies | 167 S Broadway, Salem, NH 03079-3379 | 2006-07-29 |
| 1134144579 | Paula Marie Bergeron | Optometrist | 167 S Broadway, Salem, NH 03079-3309 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| 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 |
|---|---|---|---|---|
| 1225638463 | Troy Sanfilippo | Optometrist | 286 Laurelwood Dr, Salem, CT 06420-3937 | 2020-10-27 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003367145 | Melda Nil Esendal | Optometrist | 116r Highland Avenue, Salem, MA 01970 | 2016-10-24 |
| 1487008603 | Douglas Robert Clark | Optometrist | 446 N State Road 198, Salem, UT 84653 | 2016-04-14 |
| 1073948311 | Orbal Mariam Anwari | Optometrist | 305 Liberty St Ne, Salem, OR 97301-3519 | 2013-09-05 |
| 1497195648 | Dr Zhu Eye Associates | Optometrist | 326 N Broadway, Vision Center Inside Walmart, Salem, NH 03079-2122 | 2013-07-02 |
| 1538429816 | Eyeglass Factory | Optometrist | 1885 25th St Se, Salem, OR 97302-1105 | 2012-05-21 |
| 1851607014 | Kendall Loraine Harer Mault | Optometrist | 116r Highland Ave Fl 2, Salem, MA 01970-2723 | 2010-08-26 |
| 1871738898 | Julie A. Mackall Od LLC | Optometrist | 2400 Southeast Blvd Ste A, Salem, OH 44460-3482 | 2008-12-04 |
| 1598915811 | Elizabeth Wolff | Optometrist | 400 N Broadway Ave, Salem, IL 62881-1514 | 2008-09-23 |
| Find all providers in SALEM | ||||
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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.