Individual provider Active NPI

Kristin Baragona, OD

  • Optometrist
  • Newburyport, MA
National Provider Identifier
1114507092
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5471 Issued in MA
Practice address
33 Low St
Newburyport, MA 01950-4114
Phone
(978) 462-2020
NPI assigned
Apr 13, 2021
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 118112 IA
Optometrist 152W00000X 3941-35 WI
Optometrist 152W00000X 5471 MA Primary

Addresses

Primary practice location

33 Low St
Newburyport, MA 01950-4114

Mailing address

33 Low St
Newburyport, MA 01950-4114
Phone (978) 462-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20210713000459 MA Practitioner - Optometry 0941602056 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Watts Eye Associates LLCGroup PAC ID 1557576881, 4 clinicians

Practice addresses (Care Compare)

33 Low St
Newburyport, MA 01950-4114
Phone (978) 464-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
118112IAMDOptometrist
3941-35WIMDOptometrist
5471MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince Jan 6, 2023 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 2, 2024 Accepting new patients
Bass River Optical, Inc. Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jan 2, 2024 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Jan 6, 2023 Accepting new patients
Watts Eye Associates LLC Optometrist CurrentSince Jul 2, 2021 Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist Past Accepting new patients
Wisconsin Vision, LLC Optometrist PastSince Jun 15, 2021 Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

33 Low St
Newburyport, MA 01950
Phone (978) 462-2020

173 Rt 6A
Orleans, MA 02653
Phone (508) 240-0898

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1114507092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LOW ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504114",
            "telephone_number": "978-462-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 LOW ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019504114",
            "telephone_number": "978-462-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAGONA",
        "first_name": "KRISTIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "118112",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3941-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.