Provider Demographics
NPI:1730390931
Name:RFG EYE ASSOCIATES, INC.
Entity type:Organization
Organization Name:RFG EYE ASSOCIATES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-749-9122
Mailing Address - Street 1:827 CENTRAL AVE
Mailing Address - Street 2:SUITE NUMBER 3
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2577
Mailing Address - Country:US
Mailing Address - Phone:603-749-9122
Mailing Address - Fax:603-749-2803
Practice Address - Street 1:827 CENTRAL AVE
Practice Address - Street 2:SUITE NUMBER 3
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2577
Practice Address - Country:US
Practice Address - Phone:603-749-9122
Practice Address - Fax:603-749-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-28
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30009726Medicaid
NH18162OtherDAVIS VISION
NHNH0912OtherEYE MED