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Deactivated NPI 1740352244 Deactivated / Inactive NPI Male Practitioner

Dr. Leo W. Donovan , OD

Optometrist • Marshfield, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Leo Donovan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 14, 2006
NPI Deactivation Date January 25, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Leo Donovan, OD was a registered Optometrist practicing in Marshfield, MA. Throughout an active medical career spanning 17 years, Dr. Donovan provided care at the practice location at 19 WEBSTER SQ until profile deactivation on 2023-01-25.

Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

19 Webster Sq

Marshfield, MA 020503468

Telephone 7818375800
Fax 7818375889
Associated Practice Facility / Clinic
🏢 Dr. Leo Donovan Facility NPI 1356528418

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Marshfield, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Marshfield, MA (1567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
102 101 $145.00 $133.04
92012 Established patient problem focused exam of visual system
30 24 $139.00 $94.02

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MA MA3107

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 25, 2023

Record deactivated on January 25, 2023

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 19 WEBSTER SQ, MARSHFIELD, MA 020503468 (Tel: 7818375800)

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Updated Business Mailing Address July 09, 2007

Registered at 19 WEBSTER SQ, MARSHFIELD, MA 020503468 (Tel: 7818375800)

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Provider Name / Credentials Updated July 09, 2007

Recorded as LEO DONOVAN, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Optometrist (License #MA3107 in MA)

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Initial NPI Registration & Enumeration November 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740352244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: July 09, 2007
Deactivation Date: January 25, 2023

Mailing Address

19 Webster Sq

Marshfield, MA 020503468

Phone: 7818375800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.