Donna L Gavin, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

ODTA00363 Issued in RI

Practice address

17 Intrepid LN
Jamestown, RI 02835-1830

Phone

(401) 423-3507

Fax

(401) 423-3501

NPI assigned

Nov 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Donna Gavin Dba Donna Gavin OD

  • Optometrist
  • Jamestown, RI
  • NPI 1942325287
  NPD (past) Authorized official
• Kirsten M. W. Healey, OD

  dba Sakonnet Eye Care

  • Optometrist
  • Middletown, RI
  • NPI 1679794390
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730256165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 INTREPID LN",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028351830",
            "telephone_number": "401-423-3507",
            "fax_number": "401-423-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 INTREPID LN",
            "city": "JAMESTOWN",
            "state": "RI",
            "postal_code": "028351830",
            "telephone_number": "401-423-3507",
            "fax_number": "401-423-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVIN",
        "first_name": "DONNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "RI",
            "license": "ODTA00363",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MA",
            "license": "2773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Dussault
• Joseph J England, MD
• Daniel Rexford Fanning, MA, LMHC
• Peter R Fay, LICSW
• Janet Marie Gargaro-Larson
• Marianna Goliasova
• Carolyn D. Goodrich, MSW, LICSW
• Maryanne Guertin, RPH
• Island Therapy, LLC
• Jamestown Home Health Care (Consistent Care CTG Corporation)

• Low Vision Rehabilitation Optometrist in Jamestown, RI
• Providers in Jamestown, RI by specialty
• Low Vision Rehabilitation Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.