Active NPI
Kelly M Macdonald, OD
- Optometrist
- Nashua, NH
National Provider Identifier
1487726469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0721
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7720 | Other | AETNA | |
| 30352338 | Medicaid | NH | |
| 7720 | Other | UNITED 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
Enrollment records 1
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
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 100
- Quality
- 72.05
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0721 | NH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helfman Lasky & Associates P a | Optometrist | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.