Individual provider Active NPI

Esther Lautz, OD

  • Optometrist
  • Norwood, OH
National Provider Identifier
1023634847
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006899 Issued in OH
Practice address
4600 Smith Rd
Norwood, OH 45212-2793
Phone
(513) 631-8889
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006899 OH Primary

Addresses

Primary practice location

4600 Smith Rd
Norwood, OH 45212-2793

Mailing address

4600 Smith Rd
Norwood, OH 45212-2793
Phone (513) 631-8889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200625003085 OH Practitioner - Optometry 1456773159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Western University of Health Sciences College of Dental Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

740 Commerce Dr
Suite a
Perrysburg, OH 43551-5276
Phone 24852821166

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
58.53
Promoting interoperability
100
Improvement activities
40
Cost
86.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006899OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Inc Optometrist CurrentSince Mar 16, 2023 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jun 22, 2020 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jun 22, 2020 Accepting new patients
Mobile Medical, Inc. CurrentSince Mar 16, 2023 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

211 E Broadway
Alton, IL 62002
Phone (314) 787-0681

1124 Kemper Meadow Dr
Cincinnati, OH 45240
Phone (513) 631-8889

4600 Smith Rd
Norwood, OH 45212
Phone (513) 531-1698

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1023634847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 SMITH RD",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452122793",
            "telephone_number": "513-631-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SMITH RD",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452122793",
            "telephone_number": "513-631-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUTZ",
        "first_name": "ESTHER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwood, OH

Sources for this page

Verify at the official NPI Registry.