Active NPI
Samantha Susan Vadakin
- Optometrist
- Northborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5623
- Practice address
- 345 Main St
Northborough, MA 01532-1607 - Phone
- (508) 832-8322
- Fax
- (508) 832-7662
- NPI assigned
- Jun 14, 2023
- Last updated
- Mar 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 030.0133989 | VT | |
| Optometrist | 152W00000X | 5623 | MA | Primary |
Addresses
Primary practice location
345 Main St
Northborough, MA 01532-1607
Mailing address
345 Main St
Northborough, MA 01532-1607
Phone (508) 832-8322
Other practice location 1
830 Chalkstone Ave
Providence, RI 02908-4734
Phone (401) 273-7100
Other practice location 2
10 Lincoln Sq
Worcester, MA 01608-1135
Phone (508) 373-5830
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
10 Lincoln SQ
Worcester, MA 01608-1135
Phone (508) 373-5830
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030.0133989 | VT | MD | Optometrist |
| 5623 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goswick Eye LLC | Optometrist | Current | Accepting new patients |
| McPhs University | Optometrist | Current | Accepting new patients |
| Leominster Family Eyecare PLLC | Optometrist | Past | Accepting new patients |
Locations
345 Main St
Northborough, MA 01532
Phone (508) 832-4613
10 Lincoln Sq
Worcester, MA 01608
Phone (508) 373-5607
10 Lincoln Sq
Rm 112G
Worcester, MA 01608
Organizations & group practices 4
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.
-
dba Eye and Vision Center
- General Practice Physician
- Worcester, MA
- NPI 1871852566
Optometrist
-
- Optometrist
- Northborough, MA
- NPI 1710118674
-
- Optometrist
- North Attleboro, MA
- NPI 1851388292
-
- Optometrist
- Leominster, MA
- NPI 1891342457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774310400000",
"number": "1477237055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 MAIN ST",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015321607",
"telephone_number": "508-832-8322",
"fax_number": "508-832-7662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 MAIN ST",
"city": "NORTHBOROUGH",
"state": "MA",
"postal_code": "015321607",
"telephone_number": "508-832-8322",
"fax_number": "508-832-7662"
}
],
"practiceLocations": [
{
"address_1": "830 Chalkstone Ave",
"address_purpose": "LOCATION",
"city": "Providence",
"state": "RI",
"postal_code": "029084734",
"country_code": "US",
"telephone_number": "401-273-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Lincoln Sq",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016081135",
"country_code": "US",
"telephone_number": "508-373-5830",
"fax_number": "508-519-5512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VADAKIN",
"first_name": "SAMANTHA",
"middle_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2026-03-24",
"certification_date": "2026-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VT",
"license": "030.0133989",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.