Individual provider Active NPI

Christine Caban Donahue, O.D.

  • Optometrist
  • Manchester, NH
National Provider Identifier
1831326438
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0830 Issued in NH
Practice address
581 Second St
Manchester, NH 03102-5200
Phone
(603) 668-2010
NPI assigned
Jun 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 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 0830 NH Primary

Addresses

Primary practice location

581 Second St
Manchester, NH 03102-5200

Mailing address

581 Second St
Manchester, NH 03102-5200
Phone (603) 668-2010

Other names 1

  • Ms. Christine Marie Caban Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090902000010 NH Practitioner - Optometry 6204981905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manchester Optometric, PAGroup PAC ID 1052498839, 6 clinicians

Practice addresses (Care Compare)

779 S Main St
A
Manchester, NH 03102-5143
Phone (603) 668-2010

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0830NHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Optometric, PA Optometrist CurrentSince Jun 19, 2009 Accepting new patients

Locations

779 S Main St
Manchester, NH 03102
Phone (603) 668-2010

779 S Main St
#A
Manchester, NH 03102
Phone (603) 668-2010

581 2nd St
Manchester, NH 03102
Phone (603) 668-2010

Interoperability endpoints

  • Direct secure messaging: christine.donahue@direct.revolutionehr.com

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1831326438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 SECOND ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025200",
            "telephone_number": "603-668-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 SECOND ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025200",
            "telephone_number": "603-668-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "CHRISTINE",
        "middle_name": "CABAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "CABAN",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.