Kellie McMahon

Primary specialty

OptometristTaxonomy code 152W00000X

License

5116 Issued in MA

Practice address

1970 Pawtucket Ave
East Providence, RI 02914-1718

Phone

(401) 438-1166

Fax

(401) 438-1614

NPI assigned

Aug 6, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

New England College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Modern Eyes LLCGroup PAC ID 9638425119, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Modern Eyes LLC

  • Optometrist
  • East Providence, RI
  • NPI 1265938179
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1114303625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141718",
            "telephone_number": "401-438-1166",
            "fax_number": "401-438-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 PAWTUCKET AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141718",
            "telephone_number": "401-438-1166",
            "fax_number": "401-438-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "KELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114303625",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lionel McIntosh, M.D.
• Jill Ann McKenna Bailey, APRN
• Morgan F McKenney, DPT
• Ronald McKenzie, PT
• Lori McKinsey, PSYD
• Kelsey Irene McNulty, MS, RD, LDN
• Meaningful Hope Inc. (Meaningful HOPE)
• Patricia E Meegan, PT
• Meer Primary Care, Inc.
• Omar Meer, M.D.

• Optometrist in East Providence, RI
• Providers in East Providence, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.

Verify at the official NPI Registry.