SAMANTHA SUSAN VADAKIN – Optometrist, NPI 1477237055

SAMANTHA SUSAN VADAKIN is a healthcare provider. based in Worcester, Massachusetts. specializing in OPTOMETRY. They hold a License No. 030.0133989 (VT). The NPI Number for SAMANTHA SUSAN VADAKIN is 1477237055

Main info

Female
3 Years Of Experience
Name
SAMANTHA SUSAN VADAKIN
NPI
1477237055
Phone
(508) 373-5830
Address
10 Lincoln Sq
Enumeration Date
14 June 2023
Last Update Date
24 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083735830
Graduation Year
2023 (3 years ago)
PAC ID
2163869611
Group Practice PAC ID
2365682713
Professional Enrollment ID
I20240320002371
Address ID
MA016081135WO10XXXSQXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:2State licenses:2Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for SAMANTHA SUSAN VADAKIN

  • 10 Lincoln Sq

    Worcester, MA 016081135

    Phone: (508) 373-5830

    Fax: (508) 519-5512

    Type: Location

  • 830 Chalkstone Ave

    Providence, RI 029084734

    Phone: (401) 273-7100

    Type: Location

  • 345 MAIN ST

    NORTHBOROUGH, MA 015321607

    Phone: (508) 832-8322

    Fax: (508) 832-7662

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240320002371IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365682713View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMA
O P T O M E T R YMA
O P T O M E T R YMI
O P T O M E T R YMA
-MA
O P T O M E T R YMA
-MA
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YRI

Reviews

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Frequently asked questions

Where can patients find SAMANTHA SUSAN VADAKIN's NPI?
You can confirm SAMANTHA SUSAN VADAKIN with NPI 1477237055; it appears in the national provider directory.
Is SAMANTHA SUSAN VADAKIN active in the national directory?
SAMANTHA SUSAN VADAKIN's public NPI profile is in an active state.
What kind of provider is SAMANTHA SUSAN VADAKIN?
The page reflects Optometrist for SAMANTHA SUSAN VADAKIN. Clinical services aligned with this taxonomy classification.
Where is SAMANTHA SUSAN VADAKIN's primary listing?
We display Worcester, Massachusetts because that is what the record indicates for SAMANTHA SUSAN VADAKIN.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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