Individual provider Active NPI

Mary Frances Killian, OD

  • Optometrist
  • Groton, MA
National Provider Identifier
1992374318
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003700 Issued in CO
Practice address
24 Hoyts Wharf Rd
Groton, MA 01450-1532
Phone
(978) 877-1974
NPI assigned
Jun 21, 2021
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003700 CO Primary

Addresses

Primary practice location

24 Hoyts Wharf Rd
Groton, MA 01450-1532

Mailing address

24 Hoyts Wharf Rd
Groton, MA 01450-1532
Phone (978) 877-1974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20210809003379 CO Practitioner - Optometry 2062816366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of Co LLCGroup PAC ID 9537597828, 63 clinicians

Practice addresses (Care Compare)

8925 Ridgeline Blvd
Suite 107
Highlands Ranch, CO 80129-2502
Phone (303) 791-2727

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003700COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Associates of Co LLC Optometrist CurrentSince May 1, 2024 Accepting new patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist CurrentSince Jun 11, 2021 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince May 1, 2024 Accepting new patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist CurrentSince Jun 11, 2021 Accepting new patients
Bright Eyes Vision Clinic PC a Colorado Professional Corporation Optometrist CurrentSince Jun 11, 2021 Accepting new patients

Locations

15320 E Alameda Pkwy
Aurora, CO 80017
Phone (303) 745-9400

326 Dozier Ave
Canon City, CO 81212
Phone (719) 276-0344

7539 S University Blvd
Centennial, CO 80122
Phone (303) 730-7422

7960 S University Blvd
Ste 102
Centennial, CO 80122
Phone (303) 761-2345

200 Quebec St
Bldg 600A
Denver, CO 80230
Phone (303) 361-6600

3545 W 12th St
Ste 101
Greeley, CO 80634
Phone (970) 352-4200

8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727

2020 Wadsworth Blvd
Ste 11
Lakewood, CO 80214
Phone (303) 431-1221

7586 W Jewell Ave
Lakewood, CO 80232
Phone (917) 907-3337

8585 W 14th Ave
Ste C
Lakewood, CO 80215
Phone (303) 238-4357

412 Main St
Longmont, CO 80501
Phone (303) 651-6700

412 Main St
Ste 1
Longmont, CO 80501

2249 W Eisenhower Blvd
Loveland, CO 80537
Phone (970) 667-8533

550 Thornton Pkwy
Unit 222
Thornton, CO 80229
Phone (303) 920-3937

Organizations & group practices 5

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1992374318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOYTS WHARF RD",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501532",
            "telephone_number": "978-877-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HOYTS WHARF RD",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501532",
            "telephone_number": "978-877-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLIAN",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, MA

Sources for this page

Verify at the official NPI Registry.