Individual provider Active NPI

Meritza Rondon Kluge, O.D.

  • Optometrist
  • Lancaster, MA
National Provider Identifier
1134450752
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4777 Issued in MA
Practice address
479 Old Union Tpke
Lancaster, MA 01523-3029
Phone
(978) 537-3900
Fax
(978) 537-6030
NPI assigned
Jan 21, 2010
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4777 MA Primary
Optometrist 152W00000X 1081 NH
Optometrist 152W00000X OPC5146 FL

Addresses

Primary practice location

479 Old Union Tpke
Lancaster, MA 01523-3029

Mailing address

479 Old Union Tpke
Lancaster, MA 01523-3029
Phone (978) 537-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20100317000887 MA Practitioner - Optometry 6608901525 Reassigns benefits to 2 organizations
I20231108001761 FL Practitioner - Optometry 6608901525 Reassigns benefits to 1 organization
I20241010000833 MI Practitioner - Optometry 6608901525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1081NHMDAddiction (Substance Use Disorder) Counselor
4777MAMDRegistered Dietitian
OPC5146FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Institute, PA Optometrist CurrentSince Nov 6, 2023 Accepting new patients
Lexington Eye Associates, Inc. CurrentSince Sep 1, 2023 Accepting new patients
2020, Inc Optometrist CurrentSince Jun 3, 2023 Accepting new patients
Visionworks, Inc Optometrist CurrentSince Sep 9, 2024 Accepting new patients
Lexington Eye Associates, Inc CurrentSince Sep 1, 2023 Accepting new patients
D'Ambrosio Eye Care, Inc. Optometrist CurrentSince Jan 26, 2010 Accepting new patients
D'Ambrosio Eye Care, Inc. CurrentSince Jan 26, 2010 Accepting new patients
Visionworks, Inc CurrentSince Sep 9, 2024 Accepting new patients
2020 Florida, PA Optometrist CurrentSince Jun 3, 2023 Accepting new patients
D'Ambrosio Eye Care, Inc. Optometrist Current Accepting new patients
Boston Laser Network One, LLC PastSince Dec 1, 2021 Accepting new patients

Locations

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

100 Powdermill Rd
Acton, MA 01720
Phone (978) 897-1600

300 Baker Ave
Ste 210
Concord, MA 01742
Phone (978) 369-1310

29 Garden St
Everett, MA 02149
Phone (617) 356-8117

479 Old Union Tpke
Lancaster, MA 01523
Phone (978) 537-3900

21 Worthen Rd
Lexington, MA 02421
Phone (617) 862-1620

3620 28th St SE
Kentwood, MI 49512
Phone (616) 512-0323

23360 Eureka Rd
Taylor, MI 48180
Phone (734) 287-0024

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: meritza.kluge.1@12125.direct.athenahealth.com
  • Direct secure messaging: meritza.kluge.1@24697.direct.athenahealth.com
  • Direct secure messaging: meritza.kluge.p1@direct.bostoneyegroup.nextgenshare.com

Organizations & group practices 11

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1134450752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUGE",
        "first_name": "MERITZA",
        "middle_name": "RONDON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4777",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1081",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, MA

Sources for this page

Verify at the official NPI Registry.