Active NPI
Katy Lo, O.D.
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV 007581-1
- 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
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 | 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
Enrollment records 1
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
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 100
- Quality
- 96.31
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.39
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 89.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV 007581-1 | NY | MD | Optometrist |
| 007581 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Centers of America, LLC | Current | Accepting new patients | |
| Short Hills Ophthalmology LLC | Optometrist | Current | Accepting new patients |
| Modern Physician Services PC | Past | Accepting new patients | |
| The Gelman'S Optical, Inc | Optometrist | Past | 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
- 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.
-
- Ophthalmology Physician
- Bloomfield, NJ
- NPI 1649563636
-
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1932590601
-
- Optometrist
- New York, NY
- NPI 1336158500
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.