Individual provider Active NPI

Laura Ann Lukaszek, O.D.

  • Optometrist
  • Berkeley Heights, NJ
National Provider Identifier
1184666455
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00507100 Issued in NJ
Practice address
369 Springfield Ave
Berkeley Heights, NJ 07922-1170
Phone
(908) 464-0123
Fax
(908) 665-2936
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00507100 NJ Primary
Optometrist 152W00000X 27TO00053700 NJ

Addresses

Primary practice location

369 Springfield Ave
Berkeley Heights, NJ 07922-1170

Mailing address

369 Springfield Ave
Berkeley Heights, NJ 07922-1170
Phone (908) 464-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050811000482 NJ Practitioner - Optometry 2567491301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laura Lukaszek, O.D., LLCGroup PAC ID 9436232733, 2 clinicians

Practice addresses (Care Compare)

369 Springfield Ave
Berkeley Heights, NJ 07922-1170
Phone (908) 464-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
27TO00053700NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Lukaszek, O.D., LLC CurrentSince Sep 1, 1990 Accepting new patients

Locations

369 Springfield Ave
Berkeley Hts, NJ 07922
Phone (908) 464-0123

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1184666455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221170",
            "telephone_number": "908-464-0123",
            "fax_number": "908-665-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221170",
            "telephone_number": "908-464-0123",
            "fax_number": "908-665-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKASZEK",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00507100",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00053700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

Verify at the official NPI Registry.