Individual provider Active NPI

David Pope Mackay, O.D.

  • Optometrist
  • Bedford, NH
National Provider Identifier
1124181177
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0627 Issued in NH
Practice address
207 Meetinghouse Rd
Bedford, NH 03110-6090
Phone
(603) 668-2771
Fax
(603) 627-3115
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0627 NH Primary
Corneal and Contact Management Optometrist 152WC0802X 0627 NH
Sports Vision Optometrist 152WS0006X 0627 NH

Addresses

Primary practice location

207 Meetinghouse Rd
Bedford, NH 03110-6090

Mailing address

207 Meetinghouse Rd
Bedford, NH 03110-6090
Phone (603) 668-2771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20051109000966 NH Practitioner - Optometry 6406874221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manchester Optometric, PAGroup PAC ID 1052498839, 6 clinicians

Practice addresses (Care Compare)

779 S Main St
A
Manchester, NH 03102-5143
Phone (603) 668-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Optometric, PA Optometrist CurrentSince Aug 8, 2022 Accepting new patients

Locations

779 S Main St
Manchester, NH 03102
Phone (603) 668-2010

779 S Main St
#A
Manchester, NH 03102
Phone (603) 668-2010

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1124181177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MEETINGHOUSE RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106090",
            "telephone_number": "603-668-2771",
            "fax_number": "603-627-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MEETINGHOUSE RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106090",
            "telephone_number": "603-668-2771",
            "fax_number": "603-627-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "DAVID",
        "middle_name": "POPE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0627",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NH",
            "license": "0627",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NH",
            "license": "0627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.