Provider Demographics
NPI:1437689825
Name:HARTENSTEIN, CRAIG NICHOLAS (OD)
Entity type:Individual
Prefix:
First Name:CRAIG
Middle Name:NICHOLAS
Last Name:HARTENSTEIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 LAFAYETTE RD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1247
Mailing Address - Country:US
Mailing Address - Phone:603-926-5471
Mailing Address - Fax:
Practice Address - Street 1:760 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1247
Practice Address - Country:US
Practice Address - Phone:603-926-5471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH947152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist