Provider Demographics
NPI:1366607269
Name:ILARA DONARUM, O.D., PLLC
Entity type:Organization
Organization Name:ILARA DONARUM, O.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ILARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONARUM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:603-427-2971
Mailing Address - Street 1:90 CLINTON ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3611
Mailing Address - Country:US
Mailing Address - Phone:603-498-3163
Mailing Address - Fax:603-427-2971
Practice Address - Street 1:801 ISLINGTON ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4255
Practice Address - Country:US
Practice Address - Phone:603-373-6240
Practice Address - Fax:603-334-6250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-21
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty