Provider Demographics
NPI:1679780514
Name:ONTRACK LASER VISION CORRECTION CENTER
Entity type:Organization
Organization Name:ONTRACK LASER VISION CORRECTION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SPINDEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-663-1013
Mailing Address - Street 1:107 RIVERWAY PL
Mailing Address - Street 2:BUILDING ONE
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6730
Mailing Address - Country:US
Mailing Address - Phone:603-663-1013
Mailing Address - Fax:603-663-1015
Practice Address - Street 1:107 RIVERWAY PL
Practice Address - Street 2:BUILDING ONE
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6730
Practice Address - Country:US
Practice Address - Phone:603-663-1013
Practice Address - Fax:603-663-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered156FX1101XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic AssistantGroup - Multi-Specialty
Not Answered207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty