Individual provider Active NPI

Samantha Mein, OD

  • Optometrist
  • Manchester, NH
National Provider Identifier
1457737447
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
908 Issued in NH
Practice address
581 2ND St
Manchester, NH 03102-5200
Phone
(603) 668-2010
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 908 NH Primary

Addresses

Primary practice location

581 2ND St
Manchester, NH 03102-5200

Mailing address

581 2ND St
Manchester, NH 03102-5200

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
I20170831001794 MA Practitioner - Optometry 5294034450 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
908NHMDOptometrist
0908NHMDPhysical Rehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Laura Anne Potvin, P.C. Optometrist CurrentSince Aug 7, 2017 Accepting new patients

Locations

939 Salem St
Groveland, MA 01834
Phone (978) 558-0490

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

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1457737447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 2ND ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 2ND ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025200",
            "telephone_number": "603-668-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIN",
        "first_name": "SAMANTHA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.