Individual provider Active NPI

Suzanne Lucash, O.D.

  • Optometrist
  • Westborough, MA
National Provider Identifier
1053422592
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2743 Issued in MA
Practice address
57 E Main St
Suite 212
Westborough, MA 01581-1464
Phone
(508) 366-7461
Fax
(508) 366-5018
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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 2743 MA Primary

Addresses

Primary practice location

57 E Main St
Suite 212
Westborough, MA 01581-1464

Mailing address

57 E Main St
Suite 212
Westborough, MA 01581-1464
Phone (508) 366-7461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090722000538 MA Practitioner - Optometry 1850443839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suzanne Lucash OD PLLCGroup PAC ID 8921264052, 5 clinicians

Practice addresses (Care Compare)

4 Lyman St
Westboro, MA 01581-1419
Phone (508) 366-7461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2743MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne Lucash O.D. PLLC Optometrist CurrentSince Apr 24, 2012 Accepting new patients
Suzanne Lucash, O.D. Optometrist Past Accepting new patients

Locations

4 Lyman St
Westborough, MA 01581
Phone (508) 366-1766

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053422592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 E MAIN ST",
            "address_2": "SUITE 212",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811464",
            "telephone_number": "508-366-7461",
            "fax_number": "508-366-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E MAIN ST",
            "address_2": "SUITE 212",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811464",
            "telephone_number": "508-366-7461",
            "fax_number": "508-366-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCASH",
        "first_name": "SUZANNE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.