Active NPI
Kaitlyn Marie Luchansky, O.D.
- Optometrist
- Boardman, OH
National Provider Identifier
1255871109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6560
- Practice address
- 8135 Market St
Boardman, OH 44512 - Phone
- (330) 758-0900
- NPI assigned
- Feb 26, 2017
- Sex
- Female
- 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 | 6560 | OH | Primary |
Addresses
Primary practice location
8135 Market St
Boardman, OH 44512
Mailing address
8135 Market St
Youngstown, OH 44512-6244
Phone (330) 758-0900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170720003186 | OH | Practitioner - Optometry | 2466722681 | Reassigns benefits to 2 organizations |
| I20191107002010 | WV | Practitioner - Optometry | 2466722681 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21375 Lorain Rd
Fairview Park, OH 44126-2122
Phone 4403333097313
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.04 of 100
- Quality
- 95.11
- Improvement activities
- 40
- Cost
- 46.64
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.62 of 100
- Quality
- 80.75
- Promoting interoperability
- 78
- Improvement activities
- 40
- Cost
- 79.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6560 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Eye Center, Inc | Current | Accepting new patients | |
| Fairview Eye Center, Inc | Optometrist | Current | Accepting new patients |
| Fairview Eye Center, Inc. | Optometrist | Past | Accepting new patients |
| Robert L Stein DO PC | Past | Accepting new patients | |
| Fairview Eye Center | Past | Accepting new patients |
Locations
21375 Lorain Rd
Fairview Park, OH 44126
Phone (440) 333-3060
7003 Pearl Rd
Ste 200
Middleburg Heights, OH 44130
Phone (216) 888-2333
7003 Pearl Rd
Middleburg Heights, OH 44130
Phone (440) 888-2333
Interoperability endpoints
- kluchansky@fairvieweyecenter.imwdirect.com
Organizations & group practices 6
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.
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- Cleveland, OH
- NPI 1730694142
-
- Ophthalmology Physician
- Lakewood, OH
- NPI 1164492591
-
- Ophthalmology Physician
- Hermitage, PA
- NPI 1316051485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1255871109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8135 MARKET ST",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445126244",
"telephone_number": "330-758-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8135 MARKET ST",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "44512",
"telephone_number": "330-758-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCHANSKY",
"first_name": "KAITLYN",
"middle_name": "MARIE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-26",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.