Individual provider Active NPI

Lia Ann Sprague, O.D.

  • Optometrist
  • Manchester, NH
National Provider Identifier
1215903950
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0763 Issued in NH
Practice address
764 2ND St
Manchester, NH 03102-5210
Phone
(603) 669-3925
Fax
(603) 669-0380
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0763 NH Primary

Addresses

Primary practice location

764 2ND St
Manchester, NH 03102-5210

Mailing address

764 2ND St
Manchester, NH 03102-5210
Phone (603) 669-3925

Other practice location 1

25 Buttrick Rd Ste C3
Londonderry, NH 03053-3353
Phone (603) 432-8801

Other identifiers 2

IdentifierTypeStateIssuer
CL RE 786301OtherNHMEDICARE IDENTIFIER
30353107MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20040907000900 NH Practitioner - Optometry 5698741122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NH Eye Associates PLLCGroup PAC ID 6608849823, 11 clinicians

Practice addresses (Care Compare)

25 Buttrick Rd
Suite C3
Londonderry, NH 03053-3353
Phone (603) 669-3925

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
0763NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
NH Eye Associates PLLC Optometrist CurrentSince Jul 1, 2014 Accepting new patients
Ocean Family Eyecare, PLLC Optometrist CurrentSince Oct 31, 2023 Accepting new patients
Amoskeag Health Past Accepting new patients
Pinnacle Rehabilitation Network LLC PastSince Jul 1, 2014 Accepting new patients

Locations

25 Buttrick Rd
Ste C3
Londonderry, NH 03053
Phone (603) 432-8801

764 2nd St
Manchester, NH 03102
Phone (603) 669-3925

1415 Elm St
Manchester, NH 03101
Phone (603) 669-3925

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1215903950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 2ND ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025210",
            "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": "764 2ND ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025210",
            "telephone_number": "603-669-3925",
            "fax_number": "603-669-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Buttrick Rd Ste C3",
            "address_purpose": "LOCATION",
            "city": "Londonderry",
            "state": "NH",
            "postal_code": "030533353",
            "country_code": "US",
            "telephone_number": "603-432-8801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "LIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFIER",
            "identifier": "CL RE 786301",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30353107",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.