AMY DEE PRUSZENSKI (NPI# 1174559348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174559348 |
| Entity Type | Individual |
| Full Name | AMY DEE PRUSZENSKI |
| Other Name | AMY DEE SHORTER |
| Credential | O.D. |
| Practice Address |
161 Deer St Portsmouth NH 03801-3905 |
| Practice Telephone | 6034300211 |
| Practice Fax Number | 6034307333 |
| Mailing Telephone | 6034300211 |
| Mailing Fax Number | 6034307333 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 152WP0200X |
Optometrist Specialization: Pediatrics |
609 | NH | Eye and Vision Services Providers |
| X | 152WV0400X |
Optometrist Specialization: Vision Therapy |
609 | NH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30011325 | 05 | |
| NH | ANTHEM BCBS | RE7493NH | 01 |
| NH | CIGNA | 4834506 | 01 |
| NH | HARVARD PILGRIM HEALTHCAR | NA1160 | 01 |
| Street Address |
161 DEER ST |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790727956 | Brian S. Klinger | Optometrist | 161 Deer St, Portsmouth, NH 03801-3905 | 2006-06-12 |
| 1447858287 | Nikolas Moore | Optometrist | 161 Deer St, Portsmouth, NH 03801-3905 | 2020-10-14 |
| 1952750002 | Rinita Zanzerkia Trahan | Optometrist | 161 Deer St, Portsmouth, NH 03801-3905 | 2016-06-09 |
| 1588806624 | Visual Victory Training, Pllc | Optometrist | 161 Deer St, Portsmouth, NH 03801-3905 | 2009-04-06 |
| 1598824898 | Harbor Eyecare Center PC | Optometrist | 161 Deer St, Portsmouth, NH 03801-3905 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 152WP0200X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Pediatrics |
| Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| City | PORTSMOUTH |
| Zip Code | 03801 |
Please comment or provide details below to improve the information on AMY DEE PRUSZENSKI.
| 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.