Katherine Mam, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5445 Issued in MA

Practice address

91 Mill St Ste 6
Dracut, MA 01826-3277

Phone

(978) 957-4750

NPI assigned

Jan 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hill Eye Associates, PLLCGroup PAC ID 7719070317, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Hill Eye Associates, PLLC

  • Optometrist
  • Dracut, MA
  • NPI 1699974352
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1265021703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 MILL ST STE 6",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018263277",
            "telephone_number": "978-957-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MILL ST STE 6",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018263277",
            "telephone_number": "978-957-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 Old Stonehill Rd",
            "address_purpose": "LOCATION",
            "city": "Tyngsboro",
            "state": "MA",
            "postal_code": "018792544",
            "country_code": "US",
            "telephone_number": "978-987-3702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAM",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5445",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shakira Lubega, RN BSN
• Agnes W Macharia, BSN, RN
• Catherine Njoki Macharia, FNP-BC
• Mageria Inc
• Verna Makarutsa
• Liane E Mann, LICSW
• Elaina Manolis, PT, DPT
• Oumou Mansare
• Maranatha Transit LLC
• Victoria Marcello, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.