Individual provider Active NPI

Colleen Davey Gonyea, OD

  • Optometrist
  • Worcester, MA
National Provider Identifier
1184695561
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT3836 Issued in MA
Practice address
8 Federal St
Worcester, MA 01608
Phone
(508) 791-9291
Fax
(508) 791-9292
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT3836 MA Primary

Addresses

Primary practice location

8 Federal St
Worcester, MA 01608

Mailing address

756 Eastford Rd
Southbridge, MA 01550-3940
Phone (508) 765-1373

Other practice location 1

135 Main St Ste 5
Sturbridge, MA 01566-1569
Phone (508) 347-7309

Other identifiers 1

IdentifierTypeStateIssuer
0369152MedicaidMA

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
I20110510000400 MA Practitioner - Optometry 1759567639 Reassigns benefits to 1 organization
Practice locations: Worcester, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

135 Main St
Sturbridge, MA 01566-1569
Phone (508) 347-7309

22 University Dr
Amherst, MA 01002-2243
Phone (413) 549-9400

426 N Main St
East Longmeadow, MA 01028-1850
Phone (413) 525-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT3836MAMDOptometrist

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, 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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1184695561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 EASTFORD RD",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015503940",
            "telephone_number": "508-765-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FEDERAL ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01608",
            "telephone_number": "508-791-9291",
            "fax_number": "508-791-9292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 Main St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Sturbridge",
            "state": "MA",
            "postal_code": "015661569",
            "country_code": "US",
            "telephone_number": "508-347-7309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONYEA",
        "first_name": "COLLEEN",
        "middle_name": "DAVEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT3836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0369152",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.