Individual provider Active NPI

Katy Lo, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1295040780
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV 007581-1 Issued in NY
Practice address
1353 3Rd Ave
New York, NY 10075-0867
Phone
(212) 249-6365
Fax
(212) 249-6367
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV 007581-1 NY Primary

Addresses

Primary practice location

1353 3Rd Ave
New York, NY 10075-0867

Mailing address

1353 3Rd Ave
New York, NY 10075-0867
Phone (212) 249-6365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20190111002501 NJ Practitioner - Optometry 5597999839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians
Short Hills Ophthalmology LLCGroup PAC ID 7719871615, 6 clinicians

Practice addresses (Care Compare)

1255 Broad St
Suite 104
Bloomfield, NJ 07003-3061
Phone (973) 707-5632

551 Millburn Ave
Short Hills, NJ 07078-3330
Phone (973) 379-2544

89 N Maple Ave
Suite 5
Ridgewood, NJ 07450-3235
Phone (201) 445-1991

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
96.31
Promoting interoperability
100
Improvement activities
40
Cost
73.39

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
89.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV 007581-1NYMDOptometrist
007581NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of America, LLC CurrentSince Apr 12, 2021 Accepting new patients
Short Hills Ophthalmology LLC Optometrist CurrentSince Jan 1, 2019 Accepting new patients
Modern Physician Services PC PastSince Jun 15, 2013 Accepting new patients
The Gelman'S Optical, Inc Optometrist PastSince Mar 30, 2011 Accepting new patients

Locations

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

1255 Broad St
Bloomfield, NJ 07003
Phone (973) 338-7575

777 Passaic Ave
Ste 485
Clifton, NJ 07012
Phone (973) 473-1515

777 Passaic Ave
Clifton, NJ 07012
Phone (973) 473-1515

1 Cedar Crest Village Dr
Pompton Plns, NJ 07444
Phone (973) 831-3540

551 Millburn Ave
Short Hills, NJ 07078
Phone (973) 379-2544

2025 Hamburg Tpke
Ste H
Wayne, NJ 07470
Phone (973) 506-2707

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHFABD

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": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1295040780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750867",
            "telephone_number": "212-249-6365",
            "fax_number": "212-249-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750867",
            "telephone_number": "212-249-6365",
            "fax_number": "212-249-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LO",
        "first_name": "KATY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 007581-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.