Active NPI
Nicole Lai Lanza, M.D.
- Cornea and External Diseases Specialist Physician
- Providence, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cornea and External Diseases Specialist Physician
- License
- MD19328
- Practice address
- 1 Hoppin St Ste 202
Providence, RI 02903-4141 - Phone
- (401) 444-6551
- NPI assigned
- Mar 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cornea and External Diseases Specialist Physician | 207WX0120X | 310523 | NY | |
| Cornea and External Diseases Specialist Physician | 207WX0120X | MD19328 | RI | Primary |
Addresses
Primary practice location
1 Hoppin St Ste 202
Providence, RI 02903-4141
Mailing address
118 Pitman St # 1
Providence, RI 02906-5113
Phone (407) 619-4059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Miami, LM Miller School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hoppin St
Suite 202
Providence, RI 02903-4141
Phone (401) 444-6551
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 32 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Corporation | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Past | Accepting new patients |
Locations
950 Warren Ave
Ste 302
East Providence, RI 02914
Phone (401) 444-2701
950 Warren Ave
Ste 301
East Providence, RI 02914
Phone (401) 444-3611
185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
1 Hoppin St
Ste 202
Providence, RI 02903
Phone (401) 444-6551
593 Eddy St
Providence, RI 02903
Interoperability endpoints
- nlanza217600@brownhealth.medalliesdirect.net
Organizations & group practices 4
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.
-
- General Practice Physician
- Providence, RI
- NPI 1407116643
-
- Children's Rehabilitation Hospital
- Providence, RI
- NPI 1790221232
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1588659528
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- General Acute Care Hospital
- Providence, RI
- NPI 1487649430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1194257873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 PITMAN ST # 1",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029065113",
"telephone_number": "407-619-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOPPIN ST STE 202",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029034141",
"telephone_number": "401-444-6551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZA",
"first_name": "NICOLE",
"middle_name": "LAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0120X",
"taxonomy_group": "",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "NY",
"license": "310523",
"primary": false
},
{
"code": "207WX0120X",
"taxonomy_group": "",
"desc": "Ophthalmology, Cornea and External Diseases Specialist",
"state": "RI",
"license": "MD19328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.