Individual provider Active NPI

Douglas C. Lambertson, O.D.

  • Optometrist
  • Old Bridge, NJ
National Provider Identifier
1043392913
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00494900 Issued in NJ
Practice address
400 Perrine Rd
Suite 400 B
Old Bridge, NJ 08857-2843
Phone
(732) 727-7450
Fax
(732) 727-7451
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00494900 NJ Primary

Addresses

Primary practice location

400 Perrine Rd
Suite 400 B
Old Bridge, NJ 08857-2843

Mailing address

400 Perrine Rd
Suite 400 B
Old Bridge, NJ 08857-2843
Phone (732) 727-7450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20120123000302 NJ Practitioner - Optometry 9133396799 Reassigns benefits to 1 organization
Practice locations: Old Bridge, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Perrine Rd
Suite 400B
Old Bridge, NJ 08857-2811
Phone (732) 727-7450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas C Lambertson, OD PC CurrentSince Oct 24, 2011 Accepting new patients

Locations

400 Perrine Rd
Ste 400B
Old Bridge, NJ 08857
Phone (732) 727-7450

Organizations & group practices 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043392913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD",
            "address_2": "SUITE 400 B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572843",
            "telephone_number": "732-727-7450",
            "fax_number": "732-727-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD",
            "address_2": "SUITE 400 B",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572843",
            "telephone_number": "732-727-7450",
            "fax_number": "732-727-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERTSON",
        "first_name": "DOUGLAS",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00494900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.