Individual provider Active NPI

Deanna K Lahey, O.D.

  • Optometrist
  • Milford, MA
National Provider Identifier
1831539386
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4967 Issued in MA
Practice address
250 Fortune Blvd
Milford, MA 01757-1743
Phone
(508) 473-0128
Fax
(508) 473-1058
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4967 MA Primary

Addresses

Primary practice location

250 Fortune Blvd
Milford, MA 01757-1743

Mailing address

250 Fortune Blvd
Milford, MA 01757-1743
Phone (508) 473-0128

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
I20131202001213 MA Practitioner - Optometry 3678709326 Reassigns benefits to 2 organizations
Practice locations: Milford, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rsa Optical LLCGroup PAC ID 5597069708, 2 clinicians

Practice addresses (Care Compare)

11 Summer St
Suite 1
Chelmsford, MA 01824-3064
Phone (978) 256-5731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4967MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chelmsford Optometric Associates PC Optometrist CurrentSince Oct 8, 2019 Accepting new patients
Rsa Optical LLC Optometrist CurrentSince Oct 8, 2019 Accepting new patients
Aeg Massachusetts Professional PC Optometrist CurrentSince May 3, 2023 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

15 Central St
Andover, MA 01810
Phone (978) 475-1230

11 Summer St
Ste 1
Chelmsford, MA 01824
Phone (978) 256-5731

Organizations & group practices 3

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": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1831539386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571743",
            "telephone_number": "508-473-0128",
            "fax_number": "508-473-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FORTUNE BLVD",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017571743",
            "telephone_number": "508-473-0128",
            "fax_number": "508-473-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHEY",
        "first_name": "DEANNA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.