DR. NANCY DIANE EFFERSON-BONACHEA (NPI# 1932173234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932173234 |
| Entity Type | Individual |
| Full Name | DR. NANCY DIANE EFFERSON-BONACHEA |
| Credential | M.D. |
| Practice Address |
107 Riverway Pl Bedford NH 03110-6730 |
| Practice Telephone | 6038965541 |
| Practice Fax Number | 6038365495 |
| Mailing Telephone | 6038965541 |
| Mailing Fax Number | 6038365495 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2015-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 12932 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | ANTHEM | 014008987NH01 | 01 |
| NH | 3072739 | 05 | |
| NH | TUFTS | 494440 | 01 |
| AETNA | 3972404 | 01 |
| Street Address |
107 RIVERWAY PL |
| City | BEDFORD |
| State | NH |
| Zip Code | 03110-6730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801100854 | Retina Vision Center LLC | Ophthalmology | 107 Riverway Pl, Bedford, NH 03110-6730 | 2010-08-02 |
| 1679780514 | Ontrack Laser Vision Correction Center | Technician/Technologist | 107 Riverway Pl, Building One, Bedford, NH 03110-6730 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587300 | Jillian Lee Grosse | Dietitian, Registered | 80 Palomino Lane Nutrition In Motion, LLC, Suite 101, Bedford, NH 03110 | 2019-06-19 |
| 1154892909 | Artemis Clinic | Acupuncturist | 288 South River Road, Bldg A, Unit 1, Bedford, NH 03110 | 2018-12-05 |
| 1942790217 | Wendy Arleen Williams | Acupuncturist | 360 Route 101 Bldg. 1, Suite E, Bedford, NH 03110 | 2018-05-13 |
| 1336638352 | Elliot Hospital of The City of Manchester | Pharmacy | 25 Leavy Dr, Bedford, NH 03110 | 2018-05-04 |
| 1588182034 | Camille Redmond | Nutritionist | 360 Route 101 Suite 3 A, Bedford, NH 03110 | 2017-09-05 |
| 1750837092 | Katya Kudryavtseva | Acupuncturist | 288 South River Rd, Bldg A, Unit 1, Bedford, NH 03110 | 2016-08-28 |
| 1003268004 | Bethany Heidemann | Occupational Therapist | 66 Hawthorne Dr S, Bedford, NH 03110 | 2016-07-01 |
| 1477913044 | Ultraflex Systems Inc. | Durable Medical Equipment & Medical Supplies | 150 Constitution Drive, 1st Floor, Bedford, NH 03110 | 2016-02-25 |
| 1508243676 | Lydia Ann Nickerson | Dental Hygienist | 4 Bell Hill Rd., Bedford, NH 03110 | 2015-04-28 |
| 1629477021 | Convenientmd LLC | Clinic/Center | 3 Nashua Rd, Bedford, NH 03110 | 2014-08-21 |
| Find all providers in zip 03110 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225215494 | Mhr Eye Association, PC | Ophthalmology | 1916 Central Dr, Bedford, TX 76021-5815 | 2008-01-29 |
| 1851436166 | Kerry C Woodroof | Ophthalmology | 412 N Bridge St Ste 2, Bedford, VA 24523-1981 | 2007-02-21 |
| 1013951292 | Marc A. Jones | Ophthalmology | 1901 16th Street, Bedford, IN 47421 | 2006-06-16 |
| 1801847793 | Carl Kelley Marling | Ophthalmology | 1850 Central Dr, Ste C, Bedford, TX 76021-5821 | 2006-05-15 |
| 1609866466 | Roland Miles Glassman | Ophthalmology | 407 Riverway Pl, Bedford, NH 03110-6765 | 2005-10-24 |
| 1801100854 | Retina Vision Center LLC | Ophthalmology | 107 Riverway Pl, Bedford, NH 03110-6730 | 2010-08-02 |
| 1740507664 | Harman Eye Center of Bedford LLC | Ophthalmology | 815 Summit St, Bedford, VA 24523-2636 | 2010-05-03 |
| 1477717759 | Luke Anthony Barker | Ophthalmology | 1604 Hospital Pkwy, Suite 104, Bedford, TX 76022-6986 | 2008-07-15 |
| 1144404062 | Raj Seetharaman Md | Ophthalmology | 767 Broadway Ave, Bedford, OH 44146-3644 | 2007-12-27 |
| 1730103649 | Brian Sheldon Anding | Ophthalmology | 1604 Hospital Pkwy, Suite 104, Bedford, TX 76022-6986 | 2006-07-26 |
| Find all providers in BEDFORD | ||||
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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.