Individual provider Active NPI

Thomas Lubelczyk, OD

  • Optometrist
  • Manchester, NH
National Provider Identifier
1194796045
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0424 Issued in NH
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

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00000348MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.52 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
88.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0424NHMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.