Individual provider Active NPI

Robert L Lipski, O.D.

  • Pediatric Optometrist
  • Lewisburg, PA
National Provider Identifier
1174677454
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
OE007292P Issued in PA
Practice address
2212 Old Turnpike Rd
Lewisburg, PA 17837-6521
Phone
(570) 523-9234
Fax
(570) 523-9235
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X OE007292P PA Primary

Addresses

Primary practice location

2212 Old Turnpike Rd
Lewisburg, PA 17837-6521

Mailing address

2212 Old Turnpike Rd
Lewisburg, PA 17837-6521
Phone (570) 523-9234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20120316000203 PA Practitioner - Optometry 2264545144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Lipski Eye Center PCGroup PAC ID 9234103029, 4 clinicians

Practice addresses (Care Compare)

2212 Old Turnpike Rd
Ofc
Lewisburg, PA 17837-6521
Phone (570) 523-9234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OE007292PPAMDPediatric Optometrist

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, 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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174677454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 OLD TURNPIKE RD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376521",
            "telephone_number": "570-523-9234",
            "fax_number": "570-523-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 OLD TURNPIKE RD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376521",
            "telephone_number": "570-523-9234",
            "fax_number": "570-523-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSKI",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OE007292P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.