Individual provider Active NPI

Lorrie A Richardson, OD

  • Optometrist
  • Muskogee, OK
National Provider Identifier
1003884875
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2178 Issued in OK
Practice address
742 N York St
Muskogee, OK 74403-3866
Phone
(918) 682-7752
Fax
(918) 687-8440
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2178 OK Primary

Addresses

Primary practice location

742 N York St
Muskogee, OK 74403-3866

Mailing address

742 N York St
Muskogee, OK 74403-3866
Phone (918) 682-7752

Other identifiers 1

IdentifierTypeStateIssuer
100766360AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20040315000259 OK Practitioner - Optometry 3274422498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Odom Coburn and Richardson PLLCGroup PAC ID 6709077803, 2 clinicians

Practice addresses (Care Compare)

742 N York St
Muskogee, OK 74403-3866
Phone (918) 682-7752

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Odom Coburn and Richardson PLLC Optometrist CurrentSince Jul 12, 2010 Accepting new patients
DRS Odom Coburn and Richardson PLLC Optometrist CurrentSince Nov 17, 2010 Accepting new patients
DRS. Odom Coburn and Richardson Optometrist Past Accepting new patients

Locations

403 S Main St
Eufaula, OK 74432
Phone (918) 682-7752

742 N York St
Muskogee, OK 74403
Phone (918) 682-7752

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1003884875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 N YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033866",
            "telephone_number": "918-682-7752",
            "fax_number": "918-687-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 N YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744033866",
            "telephone_number": "918-682-7752",
            "fax_number": "918-687-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LORRIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100766360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.