Active NPI
Nicholas Allen Donaghey, O.D.
- Optometrist
- Wenatchee, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD60440878
- Practice address
- 1190 5TH St
Wenatchee, WA 98801-1825 - Phone
- (509) 662-9671
- Fax
- (509) 662-9672
- NPI assigned
- Jul 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD60440878 | WA | Primary |
Addresses
Primary practice location
1190 5TH St
Wenatchee, WA 98801-1825
Mailing address
47 Makenna LN
East Wenatchee, WA 98802-5198
Phone (816) 217-8822
Other practice location 1
131 S Apple Blossom Dr Unit 114
Chelan, WA 98816-8827
Phone (509) 661-6188
Other practice location 2
1133 US Highway 2 Ste G
Leavenworth, WA 98826-1439
Phone (509) 548-7379
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063854479 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1190 5TH St
Wenatchee, WA 98801-1825
Phone (509) 662-9671
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD60440878 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Source of Wenatchee, PS | Optometrist | Current | Accepting new patients |
| Vision Source of Wenatchee, PS | Optometrist | Current | Accepting new patients |
| Vision Source of Wenatchee, PS | Optometrist | Current | Accepting new patients |
| Ellensburg Vision Clinic, PS, Inc | Optometrist | Past | Accepting new patients |
Locations
131 S Apple Blossom Dr
Unit 114
Chelan, WA 98816
Phone (509) 661-6188
1133 US Highway 2
Ste G
Leavenworth, WA 98826
Phone (509) 548-5411
1190 5th St
Wenatchee, WA 98801
Phone (509) 622-9671
Interoperability endpoints
- ndonaghey@visionsourcewen.eyefinity-direct.com
- emmc-painmanagement@direct.emhs.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Wenatchee, WA
- NPI 1023175163
-
- Optometrist
- Chelan, WA
- NPI 1083454334
-
- Optometrist
- Leavenworth, WA
- NPI 1538219787
-
- Optometrist
- Ellensburg, WA
- NPI 1336267152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1063854479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 MAKENNA LN",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "988025198",
"telephone_number": "816-217-8822",
"fax_number": "509-662-9672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 5TH ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988011825",
"telephone_number": "509-662-9671",
"fax_number": "509-662-9672"
}
],
"practiceLocations": [
{
"address_1": "131 S Apple Blossom Dr Unit 114",
"address_purpose": "LOCATION",
"city": "Chelan",
"state": "WA",
"postal_code": "988168827",
"country_code": "US",
"telephone_number": "509-661-6188",
"fax_number": "509-237-6426",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1133 US Highway 2 Ste G",
"address_purpose": "LOCATION",
"city": "Leavenworth",
"state": "WA",
"postal_code": "988261439",
"country_code": "US",
"telephone_number": "509-548-7379",
"fax_number": "509-548-4524",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONAGHEY",
"first_name": "NICHOLAS",
"middle_name": "ALLEN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-25",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD60440878",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063854479",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.