Individual provider Active NPI

Joseph James Lombardi, OD

  • Optometrist
  • Berwick, PA
National Provider Identifier
1306806575
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OET009028 Issued in PA
Practice address
126 W Front St
Berwick, PA 18603-4702
Phone
(570) 752-7458
Fax
(570) 759-3663
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OET009028 PA Primary

Addresses

Primary practice location

126 W Front St
Berwick, PA 18603-4702

Mailing address

703 Rutter Ave
Kingston, PA 18704-4801
Phone (570) 288-7405

Other identifiers 1

IdentifierTypeStateIssuer
001851993MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110318000158 PA Practitioner - Optometry 6002099769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians
Icare Optometry of Pennsylvania PCGroup PAC ID 4082000377, 3 clinicians

Practice addresses (Care Compare)

1114 Hwy 315 Blvd
Wilkes Barre, PA 18702-6943
Phone (570) 208-1111

440 N River St
Wilkes Barre, PA 18702-2631
Phone (267) 635-7089

Merit-based Incentive Payment System (MIPS)

Final score
85.08 of 100Reported as group
Quality
85.29
Promoting interoperability
100
Improvement activities
40
Cost
64.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OET009028PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Icare Optometry of Pennsylvania PC Optometrist CurrentSince Apr 12, 2025 Accepting new patients
Engle Eyewear Optical LLC CurrentSince Jun 1, 2023 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Dec 16, 2024 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

8410 Roosevelt Blvd
Philadelphia, PA 19152
Phone (215) 708-1200

1000 Schuylkill Manor Rd
Pottsville, PA 17901
Phone (570) 622-9666

440 N River St
Wilkes Barre, PA 18702
Phone (267) 635-7089

1114 Highway 315 Blvd
#315
Wilkes Barre, PA 18702
Phone (570) 208-1111

1114 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 208-1111

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1306806575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 RUTTER AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044801",
            "telephone_number": "570-288-7405",
            "fax_number": "570-288-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W FRONT ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186034702",
            "telephone_number": "570-752-7458",
            "fax_number": "570-759-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDI",
        "first_name": "JOSEPH",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET009028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001851993",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

Verify at the official NPI Registry.