Individual provider Active NPI

Katrina Winslade, O.D.

  • Optometrist
  • Groveland, MA
National Provider Identifier
1447616859
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5131 Issued in MA
Practice address
939 Salem St Unit 7
Groveland, MA 01834-1566
Phone
(978) 374-8991
NPI assigned
Jan 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5131 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

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
I20170711000543 MA Practitioner - Optometry 4587933353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2015
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
5131MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Laura Anne Potvin, P.C. Optometrist CurrentSince Oct 3, 2023 Accepting new patients
All Eye Care at Davis, Inc Optometrist PastSince Nov 4, 2014 Accepting new patients

Locations

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

Organizations & group practices 2

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": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1447616859",
    "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": [],
    "basic": {
        "last_name": "WINSLADE",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, MA

Sources for this page

Verify at the official NPI Registry.