Active NPI
Michael Lockhart Jr., OD
- Optometrist
- Massillon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5601
- Practice address
- 915 Lincoln Way E
Massillon, OH 44646-6833 - Phone
- (330) 833-1091
- Fax
- (330) 833-1092
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5601 | OH | Primary |
Addresses
Primary practice location
915 Lincoln Way E
Massillon, OH 44646-6833
Mailing address
1151 Melscheimer Rd SW
East Sparta, OH 44626-9752
Phone (330) 484-3203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2642439 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
915 Lincoln Way E
Massillon, OH 44646-6833
Phone (330) 833-1091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Optical Services Inc. | Current | Accepting new patients | |
| Dr. Mike Lockhart, Jr. & Associates, Inc. | Optometrist | Current | Accepting new patients |
Locations
220 Federal Ave NW
Massillon, OH 44647
Phone (330) 833-1091
915 Lincoln Way E
Massillon, OH 44646
Phone (330) 833-1091
18054 Royalton Rd
Strongsville, OH 44136
Phone (440) 268-0765
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 and National Provider Directory roles.
-
- Optometrist
- Massillon, OH
- NPI 1073744017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1073572806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1151 MELSCHEIMER RD SW",
"city": "EAST SPARTA",
"state": "OH",
"postal_code": "446269752",
"telephone_number": "330-484-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 LINCOLN WAY E",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446466833",
"telephone_number": "330-833-1091",
"fax_number": "330-833-1092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "MICHAEL",
"name_suffix": "Jr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2642439",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
- Lifecare Family Health and Dental Center, Inc.
- Lifecare Family Health and Dental Center, Inc. (Lifecare Community Health Center, Inc Lifecare Pharmacy)
- Brandi L Lingenhoel, APRN
- Rebecca S Livengood
- Living Tree Recovery Center (Living Tree Recovery Centers)
- Erin Kathleen Loew, APRN
- Eletzah Lopes
- Joshua Dallas Lovejoy, RN
- Michelle Lowry-Heather, R.PH, CGP
- Suzanne Lozano Tauchen, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.