Individual provider Active NPI

Cathleen Lanigan Doucette, O.D.

  • Optometrist
  • Groveland, MA
National Provider Identifier
1194792648
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4046 Issued in MA
Practice address
291 Main St
Groveland, MA 01834-1234
Phone
(978) 374-8991
Fax
(978) 373-7852
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4046 MA Primary

Addresses

Primary practice location

291 Main St
Groveland, MA 01834-1234

Mailing address

27 Windward Dr
Newburyport, MA 01950-3362
Phone (978) 499-0644

Other identifiers 2

IdentifierTypeStateIssuer
0312762MedicaidMA
W16404OtherMABC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4046MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Looking Forward Vision Therapy LLC CurrentSince Mar 12, 2023 Accepting new patients

Locations

21 Water St
Ste 204
Amesbury, MA 01913
Phone (978) 969-2304

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1194792648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 WINDWARD DR",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503362",
            "telephone_number": "978-499-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 MAIN ST",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341234",
            "telephone_number": "978-374-8991",
            "fax_number": "978-373-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUCETTE",
        "first_name": "CATHLEEN",
        "middle_name": "LANIGAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312762",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "W16404",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, MA

Sources for this page

Verify at the official NPI Registry.