Individual provider Active NPI

Kelly M Macdonald, OD

  • Optometrist
  • Nashua, NH
National Provider Identifier
1487726469
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0721 Issued in NH
Practice address
505 W Hollis St
Nashua, NH 03062-1358
Phone
(603) 882-0311
Fax
(603) 386-0046
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0721 NH Primary

Addresses

Primary practice location

505 W Hollis St
Nashua, NH 03062-1358

Mailing address

505 W Hollis St
Nashua, NH 03062-1358
Phone (603) 882-0311

Other identifiers 3

IdentifierTypeStateIssuer
7720OtherAETNA
30352338MedicaidNH
7720OtherUNITED HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20101108001139 NH Practitioner - Optometry 5496940116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helfman Lasky and Associates P aGroup PAC ID 9537103627, 9 clinicians

Practice addresses (Care Compare)

505 W Hollis St
Suite 109
Nashua, NH 03062-1386
Phone (603) 882-0311

Merit-based Incentive Payment System (MIPS)

Final score
86.03 of 100Reported as individual
Quality
72.05
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0721NHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Helfman Lasky & Associates P a Optometrist CurrentSince Jan 18, 2002 Accepting new patients

Locations

81 Mont Vernon St
Milford, NH 03055
Phone (603) 673-1330

505 W Hollis St
Nashua, NH 03062
Phone (603) 579-9648

505 W Hollis St
Ste 109
Nashua, NH 03062
Phone (603) 882-0311

Interoperability endpoints

  • Direct secure messaging: kelly.macdonald@direct.revolutionehr.com

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1487726469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W HOLLIS ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621358",
            "telephone_number": "603-882-0311",
            "fax_number": "603-386-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W HOLLIS ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030621358",
            "telephone_number": "603-882-0311",
            "fax_number": "603-386-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "KELLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7720",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30352338",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "7720",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.