Active NPI
Richard M Lubas, O.D.
- Optometrist
- Brockton, MA
National Provider Identifier
1164588497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4196
- Practice address
- 700 Oak St
Brockton, MA 02301-1105 - Phone
- (508) 584-8886
- Fax
- (508) 584-8500
- NPI assigned
- Dec 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 4196 | MA | Primary |
Addresses
Primary practice location
700 Oak St
Brockton, MA 02301-1105
Mailing address
30 Old Farm Rd
Bridgewater, MA 02324-3448
Phone (508) 584-8886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0320625 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Pennsylvania College of Optometry, 2000
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
36 Paramount Dr
Raynham, MA 02767-1001
Phone (508) 822-8626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4196 | MA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volare Eyecare PC | Optometrist | Current | Accepting new patients |
Locations
36 Paramount Dr
Raynham, MA 02767
Phone (508) 822-7122
Organizations & group practices 1
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
- Raynham, MA
- NPI 1699185363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164588497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 OLD FARM RD",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023243448",
"telephone_number": "508-584-8886",
"fax_number": "508-584-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 OAK ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011105",
"telephone_number": "508-584-8886",
"fax_number": "508-584-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBAS",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4196",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0320625",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.