Individual provider Active NPI

Lance I Alpert, OD

  • Optometrist
  • Manchester, CT
National Provider Identifier
1316910185
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002023 Issued in CT
Practice address
362 West Middle Tpke
Manchester, CT 06040
Phone
(860) 649-3311
Fax
(860) 533-1960
NPI assigned
Feb 10, 2006
Last updated
Apr 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002023 CT Primary

Addresses

Primary practice location

362 West Middle Tpke
Manchester, CT 06040

Mailing address

362 Middle Tpke W
Manchester, CT 06040-3824
Phone (860) 649-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20061024000049 CT Practitioner - Optometry 6406853183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

362 Middle Tpke W
Manchester, CT 06040-3824
Phone (860) 649-3311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002023CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Totalvision Eyecare Center of Manchester PLLC Optometrist CurrentSince Sep 16, 1996 Accepting new patients
Kibo Eyecare, PLLC Optometrist CurrentSince Nov 1, 2021 Accepting new patients

Locations

63 Hebron Ave
Glastonbury, CT 06033
Phone (860) 659-5900

63 Hebron Ave
Ste E
Glastonbury, CT 06033
Phone (860) 659-5900

362 Middle Tpke W
Manchester, CT 06040
Phone (860) 649-3311

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1316910185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 MIDDLE TPKE W",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403824",
            "telephone_number": "860-649-3311",
            "fax_number": "860-533-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 WEST MIDDLE TPKE",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-649-3311",
            "fax_number": "860-533-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPERT",
        "first_name": "LANCE",
        "middle_name": "I",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.