Individual provider Active NPI

Alicia Marie Donahue, OD

  • Optometrist
  • Groveland, MA
National Provider Identifier
1366931594
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5325 Issued in MA
Practice address
939 Salem St Unit 7
Groveland, MA 01834-1566
Phone
(978) 374-8991
NPI assigned
May 3, 2018
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5325 MA Primary

Addresses

Primary practice location

939 Salem St Unit 7
Groveland, MA 01834-1566

Mailing address

939 Salem St Unit 7
Groveland, MA 01834-1566
Phone (978) 374-8991

Other practice location 1

2005 Bay Street Suite 206
Taunton, MA 02780
Phone (508) 823-7473

Other practice location 2

150 S Huntington Ave
Boston, MA 02130-4817
Phone (617) 291-0391

Other names 1

  • Alicia Marie Hanley Former name

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
I20190517002096 MA Practitioner - Optometry 3173866969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Laura Anne Potvin PCGroup PAC ID 9032023890, 4 clinicians

Practice addresses (Care Compare)

939 Salem St
Unit 7
Groveland, MA 01834-1566
Phone (978) 374-8991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5325MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
New England Eye Institute Inc. Optometrist CurrentSince Jul 15, 2020 Accepting new patients
Dr. Laura Anne Potvin, P.C. Optometrist CurrentSince May 3, 2023 Accepting new patients
Pinnacle Rehabilitation Network LLC Past Accepting new patients

Locations

930 Commonwealth Ave
Boston, MA 02215
Phone (617) 262-2020

939 Salem St
Unit 7
Groveland, MA 01834
Phone (978) 374-8991

Interoperability endpoints

  • Direct secure messaging: adonahue@nheyeassoc.emadirect.md

Organizations & group practices 3

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": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1366931594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 SALEM ST UNIT 7",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341566",
            "telephone_number": "978-374-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 SALEM ST UNIT 7",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341566",
            "telephone_number": "978-374-8991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Bay Street Suite 206",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "02780",
            "country_code": "US",
            "telephone_number": "508-823-7473",
            "fax_number": "508-824-3830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 S Huntington Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021304817",
            "country_code": "US",
            "telephone_number": "617-291-0391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "HANLEY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Groveland, MA

Sources for this page

Verify at the official NPI Registry.