Individual provider Active NPI

Robert E. Donaghy, OD

  • Optometrist
  • Anchorage, AK
National Provider Identifier
1467420935
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
274 Issued in AK
Practice address
9610 Morningside Loop # B10
Anchorage, AK 99515-2178
Phone
(907) 272-1622
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 274 AK Primary

Addresses

Primary practice location

9610 Morningside Loop # B10
Anchorage, AK 99515-2178

Mailing address

700 E Northern Lights Blvd
Anchorage, AK 99503-4133
Phone (907) 272-1622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
274AKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Optique 20/20, Inc-Green River Past Accepting new patients

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1467420935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E NORTHERN LIGHTS BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034133",
            "telephone_number": "907-272-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9610 MORNINGSIDE LOOP # B10",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995152178",
            "telephone_number": "907-272-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAGHY",
        "first_name": "ROBERT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.