Individual provider Active NPI

Amy S Lahay, OD

  • Optometrist
  • Menasha, WI
National Provider Identifier
1063407476
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2649 Issued in WI
Practice address
878 W Airport Rd
Menasha, WI 54952-1461
Phone
(920) 806-3005
Fax
(920) 806-3004
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2649 WI Primary

Addresses

Primary practice location

878 W Airport Rd
Menasha, WI 54952-1461

Mailing address

878 W Airport Rd
Menasha, WI 54952-1461
Phone (920) 806-3005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20080501000726 WI Practitioner - Optometry 5193804110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Eye Consultants S. C.Group PAC ID 4183159528, 4 clinicians

Practice addresses (Care Compare)

878 W Airport Rd
Menasha, WI 54952-1461
Phone (920) 806-3005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2649WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Eye Consultants S. C. Optometrist CurrentSince Oct 4, 2024 Accepting new patients

Locations

1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030

878 W Airport Rd
Menasha, WI 54952
Phone (920) 727-5982

Interoperability endpoints

  • Direct secure messaging: alahay@wisconsineye.emadirect.md

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1063407476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 W AIRPORT RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521461",
            "telephone_number": "920-806-3005",
            "fax_number": "920-806-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 W AIRPORT RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521461",
            "telephone_number": "920-806-3005",
            "fax_number": "920-806-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAHAY",
        "first_name": "AMY",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menasha, WI

Sources for this page

Verify at the official NPI Registry.