Individual provider Active NPI

David Kahan, OD

  • Optometrist
  • Methuen, MA
National Provider Identifier
1558473595
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2437 Issued in MA
Practice address
436 Broadway
Methuen, MA 01844-2061
Phone
(978) 687-3220
Fax
(978) 794-1457
NPI assigned
Aug 31, 2006
Last updated
Feb 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2437 MA Primary

Addresses

Primary practice location

436 Broadway
Methuen, MA 01844-2061

Mailing address

436 Broadway
Methuen, MA 01844-2061
Phone (978) 687-3220

Other identifiers 4

IdentifierTypeStateIssuer
707195OtherMATUFTS
W15222OtherMABLUE CROSS BLUE SHIELD
31707OtherCIGNA
998281OtherMANETHEALTH

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
I20070301000279 MA Practitioner - Optometry 8820190374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baystate Eye Associates of Leominster IncGroup PAC ID 5991705949, 2 clinicians

Practice addresses (Care Compare)

25 Sack Blvd
Leominster, MA 01453-3325
Phone (978) 537-2270

436 Broadway
Methuen, MA 01844-2061
Phone (978) 687-3220

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2437MAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Eye Associates of Leominster Inc Optometrist CurrentSince Jan 1, 2007 Accepting new patients
David I Kahan OD PC Optometrist CurrentSince Nov 2, 1998 Accepting new patients

Locations

25 Sack Blvd
Leominster, MA 01453
Phone (978) 537-2270

436 Broadway
Methuen, MA 01844
Phone (978) 267-7747

436 Broadway
Ste 116
Methuen, MA 01844

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1558473595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442061",
            "telephone_number": "978-687-3220",
            "fax_number": "978-794-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442061",
            "telephone_number": "978-687-3220",
            "fax_number": "978-794-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHAN",
        "first_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "707195",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W15222",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "31707",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETHEALTH",
            "identifier": "998281",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.