Individual provider Active NPI

Kylie Donahue

  • Optometrist
  • Putnam, CT
National Provider Identifier
1891545463
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3.003388 Issued in CT
Practice address
5 Kennedy Dr
Putnam, CT 06260-1939
Phone
(860) 928-0414
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3.003388 CT Primary

Addresses

Primary practice location

5 Kennedy Dr
Putnam, CT 06260-1939

Mailing address

128 South St
Auburn, MA 01501-2748
Phone (978) 304-6959

Other practice location 1

241 Corporate Blvd
Norfolk, VA 23502-4975
Phone (757) 622-2200

Other practice location 2

2234 Cunningham Dr
Hampton, VA 23666-2555
Phone (757) 622-2200

Other practice location 3

465 N Great Neck Rd
Virginia Beach, VA 23454-4064
Phone (757) 622-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240801000462 VA Practitioner - Optometry 4082151626 Reassigns benefits to 1 organization
I20250909001630 CT Practitioner - Optometry 4082151626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Northeast, PCGroup PAC ID 8729115340, 3 clinicians

Practice addresses (Care Compare)

5 Kennedy Dr
Putnam, CT 06260-1939
Phone (860) 928-0414

Hospital & facility affiliations

  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3.003388CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Eye Consultants Inc Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Eye Care Northeast, PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

5 Kennedy Dr
Putnam, CT 06260
Phone (860) 928-0414

805 Battlefield Blvd N
Ste 111
Chesapeake, VA 23320
Phone (757) 844-6529

2234 Cunningham Dr
Hampton, VA 23666
Phone (757) 742-3902

241 Corporate Blvd
Ste 210
Norfolk, VA 23502
Phone (757) 742-3902

241 Corporate Blvd
Norfolk, VA 23502
Phone (757) 362-3577

3235 Academy Ave
Ste 200
Portsmouth, VA 23703
Phone (757) 397-7858

2463 Pruden Blvd
Suffolk, VA 23434
Phone (757) 742-3902

465 N Great Neck Rd
Virginia Beach, VA 23454
Phone (757) 481-5555

1788 Republic Rd
Virginia Beach, VA 23454
Phone (757) 640-8673

2020 General Booth Blvd
Virginia Beach, VA 23454
Phone (757) 742-3902

Interoperability endpoints

  • Direct secure messaging: kdonahue@ecne.emadirect.md
  • Direct secure messaging: kylie.donahue.p1@direct.vec.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1891545463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 SOUTH ST",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015012748",
            "telephone_number": "978-304-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 KENNEDY DR",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601939",
            "telephone_number": "860-928-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Corporate Blvd",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235024975",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2234 Cunningham Dr",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "VA",
            "postal_code": "236662555",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "465 N Great Neck Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234544064",
            "country_code": "US",
            "telephone_number": "757-622-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "KYLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3.003388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

Verify at the official NPI Registry.