Active NPI
Donna Vann, O.D.
- Optometrist
- Wakefield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4891
- Practice address
- 22 Yale Ave
Wakefield, MA 01880-2309 - Phone
- (781) 245-1871
- Fax
- (781) 245-7963
- NPI assigned
- Sep 12, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4891 | MA | Primary |
Addresses
Primary practice location
22 Yale Ave
Wakefield, MA 01880-2309
Mailing address
22 Yale Ave
Wakefield, MA 01880-2309
Phone (781) 245-1871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110090610A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
22 Yale Ave
Wakefield, MA 01880-2309
Phone (781) 245-1871
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.86 of 100
- Quality
- 86.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearsight Vision Care LLC | Optometrist | Current | Accepting new patients |
| Tallman Eye Associates, PC | Optometrist | Current | Accepting new patients |
| Raffaele a Petrosino | Optometrist | Past | Accepting new patients |
Locations
360 Merrimack St
Ste 9
Lawrence, MA 01843
Phone (978) 552-4000
451 Andover St
North Andover, MA 01845
Phone (978) 687-1313
22 Yale Ave
Wakefield, MA 01880
Phone (781) 245-1871
29 Stiles Rd
Ste 101
Salem, NH 03079
Phone (603) 893-7400
Interoperability endpoints
- dvann@tea.ecldirect.net
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.
-
- Optometrist
- Wakefield, MA
- NPI 1679300057
-
- Optometrist
- Wakefield, MA
- NPI 1932384179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1902188477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 YALE AVE",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018802309",
"telephone_number": "781-245-1871",
"fax_number": "781-245-7963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 YALE AVE",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018802309",
"telephone_number": "781-245-1871",
"fax_number": "781-245-7963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANN",
"first_name": "DONNA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110090610A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.