Individual provider Active NPI

Angie J Vonnahme, OD

  • Optometrist
  • Holyoke, MA
National Provider Identifier
1780746982
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4343 Issued in MA
Practice address
98 Lower Westfield Rd
Holyoke, MA 01040-9403
Phone
(413) 552-3937
Fax
(888) 935-4545
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 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 4343 MA Primary

Addresses

Primary practice location

98 Lower Westfield Rd
Holyoke, MA 01040-9403

Mailing address

98 Lower Westfield Rd
Holyoke, MA 01040-9403
Phone (413) 552-3937

Other identifiers 1

IdentifierTypeStateIssuer
07197XXMedicaidMA

Other names 1

  • Angie Kaniatobe Former name

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
I20090529000479 MA Practitioner - Optometry 6204985807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vonnahme and Associates LLC PCGroup PAC ID 5890714927, 2 clinicians

Practice addresses (Care Compare)

98 Lower Westfield Rd
Suite 9
Holyoke, MA 01040-9403
Phone (413) 552-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4383MAMDMental Health Counselor
4343MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vonnahme & Associates LLC PC Optometrist CurrentSince Nov 4, 2025 Accepting new patients

Locations

98 Lower Westfield Rd
Ste 105
Holyoke, MA 01040
Phone (413) 552-3937

98 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 533-5201

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": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1780746982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 LOWER WESTFIELD RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409403",
            "telephone_number": "413-552-3937",
            "fax_number": "888-935-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 LOWER WESTFIELD RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409403",
            "telephone_number": "413-552-3937",
            "fax_number": "888-935-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONNAHME",
        "first_name": "ANGIE",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07197XX",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "KANIATOBE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.