Individual provider Active NPI

Mark D Lachman, O.D.

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1164418695
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000800 Issued in PA
Practice address
1665 State Hill Rd
Suite 910
Wyomissing, PA 19610-1900
Phone
(610) 374-3777
NPI assigned
Sep 20, 2005
Last updated
Jul 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000800 PA Primary

Addresses

Primary practice location

1665 State Hill Rd
Suite 910
Wyomissing, PA 19610-1900

Mailing address

1665 State Hill Rd
Suite 910
Wyomissing, PA 19610-1900
Phone (610) 374-3777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1164418695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 STATE HILL RD",
            "address_2": "SUITE 910",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101900",
            "telephone_number": "610-374-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 STATE HILL RD",
            "address_2": "SUITE 910",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101900",
            "telephone_number": "610-374-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACHMAN",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.