Individual provider Active NPI

Stephanie Lambertson, OD

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1104558972
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003136 Issued in VA
Practice address
2101 Carl D Silver Pkwy
Fredericksburg, VA 22401-5085
Phone
(540) 373-3021
Fax
(540) 373-5565
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003136 VA Primary

Addresses

Primary practice location

2101 Carl D Silver Pkwy
Fredericksburg, VA 22401-5085

Mailing address

2101 Carl D Silver Pkwy
Fredericksburg, VA 22401-5085
Phone (540) 373-3021

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SL@premiereyecare-tsaiandassoc.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220912003916 VA Practitioner - Optometry 8820473879 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Virginia Professional PLLCGroup PAC ID 1456898782, 12 clinicians

Practice addresses (Care Compare)

2101 Carl D Silver Pkwy
Fredericksburg, VA 22401-5085
Phone (540) 373-3021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eyecare, Angela Tsai, O.D. and Associates, P.C. Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Aeg Virginia Professional PLLC Optometrist CurrentSince Jul 19, 2024 Accepting new patients

Locations

2101 Carl D Silver Pkwy
Fredericksburg, VA 22401
Phone (540) 373-3021

Interoperability endpoints

  • Direct secure messaging: sl@premiereyecare-tsaiandassoc.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1104558972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 CARL D SILVER PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015085",
            "telephone_number": "540-373-3021",
            "fax_number": "540-373-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CARL D SILVER PKWY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015085",
            "telephone_number": "540-373-3021",
            "fax_number": "540-373-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERTSON",
        "first_name": "STEPHANIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SL@premiereyecare-tsaiandassoc.emadirect.md",
            "affiliation": "N",
            "address_1": "2101 Carl D Silver Pkwy",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224015085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.