Lauren Rebecca Tackett, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13231T Issued in CA

Practice address

7605 Morro Rd
Atascadero, CA 93422-4433

Phone

(805) 466-3777

Fax

(805) 466-3700

NPI assigned

Sep 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Berkeley Northeastern State University - College of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fyidoctors of California IncGroup PAC ID 3577961572, 21 clinicians

Primary Eyecare Center an Optometric PracticeGroup PAC ID 1456319979, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Fyidoctors of California, Inc.

  • Optometrist
  • Roseville, CA
  • NPI 1437718418
  Medicare reassignment Care Compare group NPD
• Primary Eyecare Center, an Optometric Practice

  • Optometrist
  • San Luis Obispo, CA
  • NPI 1013034537
  Medicare reassignment Care Compare group NPD
• Primary Eyecare Center an Optometric Practice

  • Optometrist
  • Atascadero, CA
  • NPI 1164590766
  NPD
• Mona Gill O D Corp

  • Optometrist
  • Pismo Beach, CA
  • NPI 1891365003
  NPD (past)
• Scott E Schachter Oda Professional Corporation

  • Optometrist
  • Pismo Beach, CA
  • NPI 1578698312
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1164618682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224433",
            "telephone_number": "805-466-3777",
            "fax_number": "805-466-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224433",
            "telephone_number": "805-466-3777",
            "fax_number": "805-466-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "LAUREN",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13231T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SD0093530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandler Sutton
• Chelsea Lynn Swanson
• Alyssa Switzer
• Syndi Ecker Enterprises, Inc
• Gerald Taberdo
• Vincent Louis Tafuto, DPT
• Alisa Marlene Tagle
• Brian Nabil Talleur, MD
• Joshua Taylor, PHARMD
• Robert W. Taylor, MD

• Optometrist in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.

Verify at the official NPI Registry.