Active NPI
Gina Louise Destefano, OD
- Optometrist
- Plainville, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT8361
- Practice address
- 51 Man Mar Dr Unit 2
Plainville, MA 02762-2272 - Phone
- (508) 222-9914
- Fax
- (508) 222-9914
- NPI assigned
- Aug 12, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT8361 | MA | Primary |
| Optometrist | 152W00000X | 011050 | NY |
Addresses
Primary practice location
51 Man Mar Dr Unit 2
Plainville, MA 02762-2272
Mailing address
1797 Washington St
Holliston, MA 01746-2239
Phone (774) 573-6307
Other practice location 1
2875 Broadway
New York, NY 10025-7846
Phone (929) 822-4165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
51 Man Mar Dr
Plainville, MA 02762-2272
51 Man Mar Dr
Unit 2
Plainville, MA 02762-2266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011050 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sabrina Gaan OD LLC | Optometrist | Current | Accepting new patients |
Locations
367 Washington St
Boston, MA 02108
Phone (617) 542-9221
51 Man Mar Dr
Unit 2
Plainville, MA 02762
Phone (508) 222-9912
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.
-
- Optometrist
- Plainville, MA
- NPI 1174175855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1770314726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1797 WASHINGTON ST",
"city": "HOLLISTON",
"state": "MA",
"postal_code": "017462239",
"telephone_number": "774-573-6307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 MAN MAR DR UNIT 2",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027622272",
"telephone_number": "508-222-9914",
"fax_number": "508-222-9914"
}
],
"practiceLocations": [
{
"address_1": "2875 Broadway",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100257846",
"country_code": "US",
"telephone_number": "929-822-4165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESTEFANO",
"first_name": "GINA",
"middle_name": "LOUISE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "OPT8361",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "011050",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.