Most Relevant Information
Provider Data
| NPI Number: | 1003811191 |
| Provider Name: | HENRY AGUSTIN LOPEZ O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 0544 |
Most Important Dates
| Enumeration Date: | 06/16/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
5 COLISEUM AVE
NASHUA
NH
030633292
Practice Location Phone/Fax
| Phone: | 6038829800 |
| Fax: | 6038820556 |
Provider Mailing Location
380 D. W. HWY
MERRIMACK
NH
030544169
Provider Mailing Phone/Fax
| Phone: | 6034246500 |
| Fax: | 6034239894 |