Individual provider Active NPI

Lily NG, O.D.

  • Optometrist
  • Braintree, MA
National Provider Identifier
1326322645
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4866 Issued in MA
Practice address
250 Granite St
Sears Optical
Braintree, MA 02184-2804
Phone
(781) 843-4295
Fax
(781) 848-4868
NPI assigned
Oct 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 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 4866 MA Primary

Addresses

Primary practice location

250 Granite St
Sears Optical
Braintree, MA 02184-2804

Mailing address

758 Tremont St
Apt 1
Boston, MA 02118-1105
Phone (781) 985-0398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20140716001248 MA Practitioner - Optometry 2163648759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nielsen Eye Center, Inc.Group PAC ID 6608828884, 12 clinicians

Practice addresses (Care Compare)

300 Congress St
Quincy, MA 02169-0907
Phone (617) 471-5665

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
93.36
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4866MAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nielsen Eye Center, Inc. CurrentSince Jul 7, 2014 Accepting new patients

Locations

141 Longwater Dr
Ste 111
Norwell, MA 02061

300 Congress St
Ste 201
Quincy, MA 02169
Phone (617) 471-5655

541 Main St
Ste 110
Weymouth, MA 02190

Interoperability endpoints

  • Direct secure messaging: lng@golasik.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1326322645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 TREMONT ST",
            "address_2": "APT 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021181105",
            "telephone_number": "781-985-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 GRANITE ST",
            "address_2": "SEARS OPTICAL",
            "city": "BRAINTREE",
            "state": "MA",
            "postal_code": "021842804",
            "telephone_number": "781-843-4295",
            "fax_number": "781-848-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "LILY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braintree, MA

Sources for this page

Verify at the official NPI Registry.