Lynne M Porreca, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

NJ 4381 Issued in NJ

Practice address

211 Buck St
Millville, NJ 08332-3817

Phone

(856) 825-1011

Fax

(856) 327-1333

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1245211713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BUCK ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323817",
            "telephone_number": "856-825-1011",
            "fax_number": "856-327-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BUCK ST",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323817",
            "telephone_number": "856-825-1011",
            "fax_number": "856-327-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRECA",
        "first_name": "LYNNE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "NJ 4381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4501878",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emanuel Petroulakis
• Sheila Sharmaine Pierce-Williams, MSW, LCSW,CAMS II
• Lisa Pisano, MS
• Malgorzata Piszcz-Connelly, M.D.
• Randall Eugene Pitone, MD
• Positive Pathways LLC
• Lindsey Kristina Pratts, FNP-C
• Jorge Priori, M.D.
• Pulmonary Health Consultants, LLC
• Pure Legacy Community Care

• Optometrist in Millville, NJ
• Providers in Millville, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.