Tracey Skelly, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

0954 Issued in NH

Practice address

451 Amherst St Ste 102
Nashua, NH 03063-1200

Phone

(603) 882-4221

NPI assigned

Jul 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

New England College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Practice of Nashua PLLCGroup PAC ID 4284981788, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Practice of Nashua PLLC

  • Optometrist
  • Nashua, NH
  • NPI 1770073298
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1760899934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 AMHERST ST STE 102",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631200",
            "telephone_number": "603-882-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 AMHERST ST STE 102",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631200",
            "telephone_number": "603-882-4221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "591 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016051932",
            "country_code": "US",
            "telephone_number": "508-853-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKELLY",
        "first_name": "TRACEY",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002969",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5050",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111481",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William C Siroty, M.D.
• SJ Physician Services, Inc Dba Nashua Medical Group Pharmacy
• SJH Surgicenter, LLC
• Jane Skantze, MSW
• Christine Katherine Skelley, SLP
• Robyn Skinner, RN
• Skyline Anesthesia PLLC
• Meghan Slaalien, LICSW
• Elizabeth Sarah Slattery, LCMHC
• Jeffrey Small, BA

• Optometrist in Nashua, NH
• Providers in Nashua, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.

Verify at the official NPI Registry.