Active NPI
Thomas Lubelczyk, OD
- Optometrist
- Manchester, NH
National Provider Identifier
1194796045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0424
- Practice address
- 1415 Elm St
NH Eye Associates PA
Manchester, NH 03101-1325 - Phone
- (603) 669-3925
- Fax
- (603) 669-0380
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 0424 | NH | Primary |
Addresses
Primary practice location
1415 Elm St
NH Eye Associates PA
Manchester, NH 03101-1325
Mailing address
1415 Elm St
NH Eye Associates PA
Manchester, NH 03101-1325
Phone (603) 669-3925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000348 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.52 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 88.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0424 | NH | MD | Genetic Counselor (M.S.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Rehabilitation Network LLC | Past | Accepting new patients | |
| Amoskeag Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Manchester, NH
- NPI 1225625643
-
- Physical Therapist
- Freeport, ME
- NPI 1235940388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1194796045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 ELM ST",
"address_2": "NH EYE ASSOCIATES PA",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011325",
"telephone_number": "603-669-3925",
"fax_number": "603-669-0380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 ELM ST",
"address_2": "NH EYE ASSOCIATES PA",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031011325",
"telephone_number": "603-669-3925",
"fax_number": "603-669-0380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBELCZYK",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "0424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00000348",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.