Individual provider Active NPI

Carrigan Fate Gould, OD

  • Optometrist
  • West Roxbury, MA
National Provider Identifier
1952154791
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1217 Issued in NH
Practice address
1400 VFW Pkwy
West Roxbury, MA 02132-4927
Phone
(617) 323-7700
NPI assigned
Apr 10, 2024
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 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 NU
Optometrist 152W00000X 1217 NH Primary

Addresses

Primary practice location

1400 VFW Pkwy
West Roxbury, MA 02132-4927

Mailing address

1400 VFW Pkwy
West Roxbury, MA 02132-4927
Phone (617) 323-7700

Other practice location 1

9 Triangle Ln Ste 204
Manchester, NH 03103-2357
Phone (603) 644-6100

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
I20241217002399 NH Practitioner - Optometry 9537696489 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

2 Pillsbury St
Suite 100
Concord, NH 03301-3549
Phone (603) 224-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1217NHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Concord Ophthalmologic Associates PA CurrentSince Jul 1, 2025 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients
Concord Ophthalmologic Associates PA Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist Past Accepting new patients
Myeyedr Optometry of New Hampshire, PLLC Optometrist PastSince Mar 16, 2021 Accepting new patients

Locations

2 Pillsbury St
Ste 100
Concord, NH 03301
Phone (603) 224-2020

248 Pleasant St
Ste 1600
Concord, NH 03301
Phone (603) 224-2020

1 Brickyard Sq
Ste 11
Epping, NH 03042
Phone (603) 347-8377

1093 Elm St
Manchester, NH 03101
Phone (603) 296-0235

381 S Willow St
Manchester, NH 03103
Phone (603) 382-1414

87 Elm St
Manchester, NH 03101
Phone (603) 935-5966

9 Triangle Ln
Ste 204
Manchester, NH 03103
Phone (603) 644-6100

370 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 424-0404

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1952154791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324927",
            "telephone_number": "617-323-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VFW PKWY",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021324927",
            "telephone_number": "617-323-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Triangle Ln Ste 204",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031032357",
            "country_code": "US",
            "telephone_number": "603-644-6100",
            "fax_number": "603-314-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULD",
        "first_name": "CARRIGAN",
        "middle_name": "FATE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Roxbury, MA

Sources for this page

Verify at the official NPI Registry.