Active NPI
Lawrence Lupo, OD
- Optometrist
- Bellmore, NY
National Provider Identifier
1265415160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV3567
- Practice address
- 2766 Sunrise Hwy
Bellmore, NY 11710-3639 - Phone
- (516) 826-2020
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- 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 | TUV3567 | NY | Primary |
Addresses
Primary practice location
2766 Sunrise Hwy
Bellmore, NY 11710-3639
Mailing address
2766 Sunrise Hwy
Bellmore, NY 11710-3639
Phone (516) 826-2020
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017415 | Other | NY | UNITED HEALTHCARE |
| C196D1 | Other | NY | EMPIRE |
| 14704 | Other | NY | AETNA |
| 6500700 | Other | NY | GHI |
| 108145 | Other | NY | VYTRA |
| 2C6996 | Other | NY | HEALTHNET |
| P1059206 | Other | NY | OXFORD |
| UT003567 | Other | NY | HIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV3567 | NY | MD | Optometrist |
| 003567 | NY | MD | Respiratory/Developmental/Rehabilitative Specialist/Technologist |
| 004417 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision People | Optometrist | Past | Accepting new patients |
| Vision People of Bellmore, Inc | 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.
-
- Optometrist
- Bellmore, NY
- NPI 1194897306
-
- Eyewear Supplier
- Bellmore, NY
- NPI 1942579818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1265415160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2766 SUNRISE HWY",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117103639",
"telephone_number": "516-826-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2766 SUNRISE HWY",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117103639",
"telephone_number": "516-826-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUPO",
"first_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV3567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2017415",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "C196D1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "14704",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6500700",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "108145",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C6996",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1059206",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "UT003567",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.