Meritza Rondon Kluge, O.D.
Individual provider Active NPI Optometrist · Lancaster, MA
NPI 1134450752 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1134450752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4777 (MA)
- Practice address
- 479 Old Union Tpke
Lancaster, MA 01523-3029 - Phone
- (978) 537-3900
- Fax
- (978) 537-6030
- NPI assigned
- Jan 21, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MA, FL, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4777 | MA | MD | Registered Dietitian |
| OPC5146 | FL | MD | Optometrist |
Practice roles (11 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Eye Institute, PA | Optometrist | Current |
Accepting new patients |
| D'Ambrosio Eye Care, Inc. | Current |
Accepting new patients | |
| D'Ambrosio Eye Care, Inc. | Optometrist | Current |
Accepting new patients |
| 2020, Inc | Optometrist | Current |
Accepting new patients |
| Lexington Eye Associates, Inc. | Current |
Accepting new patients | |
| D'Ambrosio Eye Care, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | Optometrist | Current |
Accepting new patients |
| Lexington Eye Associates, Inc | Current |
Accepting new patients | |
| 2020 Florida, PA | Optometrist | Current |
Accepting new patients |
| Visionworks, Inc | Current |
Accepting new patients | |
| Boston Laser Network One, LLC | Past |
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
- meritza.kluge.p1@direct.bostoneyegroup.nextgenshare.com
- meritza.kluge.1@12125.direct.athenahealth.com
- meritza.kluge.1@24697.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4777 | MA | Yes |
| 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
Other providers in Lancaster, MA
- Lynn Hudak
- Edward Jackson
- Jessica Jones
- Madhuri Kavi
- Michlle Kelly
- Brenda Komari
- Rosaria Kozar
- Anna Krawiec
- Farah Lakhani
- Lancaster Dental
All providers in Lancaster, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.