Individual provider Active NPI

Khyla Eval Osaretin, O.D.

  • Optometrist
  • Lancaster, MA
National Provider Identifier
1235374182
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4835 Issued in MA
Practice address
479 Old Union Turnpike
Lancaster, MA 01523-3029
Phone
(978) 537-3900
Fax
(978) 537-6030
NPI assigned
Dec 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4835 MA Primary

Addresses

Primary practice location

479 Old Union Turnpike
Lancaster, MA 01523-3029

Mailing address

479 Old Union Turnpike
Lancaster, MA 01523-3029
Phone (978) 537-3900

Other names 1

  • Khyla Eval Lance Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110413000892 MA Practitioner - Optometry 2264616309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D'Ambrosio Eye Care IncGroup PAC ID 5597755314, 11 clinicians

Practice addresses (Care Compare)

479 Old Union Tpke
Lancaster, MA 01523-3029
Phone (978) 537-3900

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D'Ambrosio Eye Care, Inc. Optometrist CurrentSince Feb 23, 2011 Accepting new patients
D'Ambrosio Eye Care, Inc. Optometrist Current Accepting new patients
D'Ambrosio Eye Care, Inc. CurrentSince Feb 23, 2011 Accepting new patients
D'Ambrosio Eye Care, Inc. Past Accepting new patients

Locations

100 Powdermill Rd
Acton, MA 01720
Phone (978) 897-1600

413 Main St
Athol, MA 01331
Phone (978) 249-4209

74 Main St
Gardner, MA 01440
Phone (978) 632-3930

479 Old Union Tpke
Lancaster, MA 01523
Phone (978) 537-3900

865 Merriam Ave
Ste 119
Leominster, MA 01453
Phone (978) 537-6045

255 Park Ave
Ste 606
Worcester, MA 01609
Phone (508) 753-1032

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1235374182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TURNPIKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TURNPIKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSARETIN",
        "first_name": "KHYLA",
        "middle_name": "EVAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-06",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHYLA",
            "last_name": "LANCE",
            "middle_name": "EVAL",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, MA

Sources for this page

Verify at the official NPI Registry.