Darina Polsonetti, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4681 Issued in MA

Practice address

164 Sylvan St
Danvers, MA 01923-3561

Phone

(978) 774-4500

Fax

(978) 774-0974

NPI assigned

Jul 31, 2008

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

Other names 1

• Darina Celiku Other name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mass Optometric Associates, PLLC

  • Optometrist
  • Malden, MA
  • NPI 1063610194
  Medicare reassignment NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • Amherst, MA
  • NPI 1124534946
  Medicare reassignment NPD
• Mass Optometric Associates, PLLC

  • Optometrist
  • Attleboro, MA
  • NPI 1972059723
  NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • North Andover, MA
  • NPI 1922971415
  NPD
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • Danvers, MA
  • NPI 1992312268
  NPD

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1245496009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 SYLVAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233561",
            "telephone_number": "978-774-4500",
            "fax_number": "978-774-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SYLVAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233561",
            "telephone_number": "978-774-4500",
            "fax_number": "978-774-0974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Middlesex Turnpike",
            "address_2": "Lenscrafters at Macy's",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "01803",
            "country_code": "US",
            "telephone_number": "781-238-6141",
            "fax_number": "781-270-3281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLSONETTI",
        "first_name": "DARINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110114743A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARINA",
            "last_name": "CELIKU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Plosker, M.D.
• Kimberly Plumadore
• Podiatry Healthcare P.C.
• Anissa Poirier
• Anabel Polanco
• Janet Elizabeth Pomroy, LMHC
• Efrain Ponce-Hamlet
• Sarah Popeo, LICSW
• Frances Porte-Nimely
• Amanda Ellen Porter

• Optometrist in Danvers, MA
• Providers in Danvers, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.