Individual provider Active NPI

Laura Lynn Perrin, O.D.

  • Optometrist
  • Randolph, NJ
National Provider Identifier
1316967599
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00548500 Issued in NJ
Practice address
477 Route 10E
Suite 103
Randolph, NJ 07869
Phone
(973) 328-1311
Fax
(973) 328-8085
NPI assigned
Jul 20, 2006
Last updated
Sep 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00548500 NJ Primary

Addresses

Primary practice location

477 Route 10E
Suite 103
Randolph, NJ 07869

Mailing address

477 Route 10E
Suite 103
Randolph, NJ 07869
Phone (973) 328-1311

Other identifiers 1

IdentifierTypeStateIssuer
P00418712OtherNJRAILROAD MEDICARE

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
I20101018000943 NJ Practitioner - Optometry 3375736754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Randolph Eyecare Center PAGroup PAC ID 2769586700, 4 clinicians

Practice addresses (Care Compare)

477 Route 10 E
Suite 103
Randolph, NJ 07869-2143
Phone (973) 328-1311

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Quality
90.53
Improvement activities
40
Cost
75.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00548500NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Eyecare Center PA Optometrist CurrentSince Oct 27, 1997 Accepting new patients

Locations

477 State Route 10
Ste 103
Randolph, NJ 07869
Phone (973) 328-1311

Interoperability endpoints

  • Direct secure messaging: lauraperrin@randolpheyes.direct.eyemdemr.com

Organizations & group practices 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1316967599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10E",
            "address_2": "SUITE 103",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-328-1311",
            "fax_number": "973-328-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 ROUTE 10E",
            "address_2": "SUITE 103",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "07869",
            "telephone_number": "973-328-1311",
            "fax_number": "973-328-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIN",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00548500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00418712",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.