Active NPI
Albert Lee Lundquist, PHYSICIAN ASSISTANT
- Ophthalmology Physician
- Greensboro, NC
National Provider Identifier
1295727634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 100986
- Practice address
- 3312 Battleground Ave
Greensboro, NC 27410-2402 - Phone
- (336) 282-5000
- Fax
- (336) 545-9792
- NPI assigned
- Aug 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 100986 | NC | Primary |
| Ophthalmology Physician | 207W00000X | 0110840384 | VA |
Addresses
Primary practice location
3312 Battleground Ave
Greensboro, NC 27410-2402
Mailing address
PO Box 38157
Greensboro, NC 27438-8157
Phone (336) 282-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561783008 | Other | NC | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1317 N Elm St
Suite 4
Greensboro, NC 27401-1023
Phone (336) 378-1442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110840384 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Cataract Laser Center | Ophthalmology | Past | Accepting new patients |
| Central Carolina Surgical Eye Associates, P.a. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 3
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
- Greensboro, NC
- NPI 1932125564
-
- Ophthalmology Physician
- Greensboro, NC
- NPI 1811994031
-
- Ophthalmology Physician
- Greensboro, NC
- NPI 1063771616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1295727634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38157",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274388157",
"telephone_number": "336-282-5000",
"fax_number": "336-545-9792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3312 BATTLEGROUND AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274102402",
"telephone_number": "336-282-5000",
"fax_number": "336-545-9792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDQUIST",
"first_name": "ALBERT",
"middle_name": "LEE",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "100986",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "VA",
"license": "0110840384",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "561783008",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.