Individual provider Active NPI

Erin Elizabeth Lord, O.D.

  • Optometrist
  • Dedham, MA
National Provider Identifier
1336556984
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5062 Issued in MA
Practice address
870 Providence Hwy
Dedham, MA 02026-6806
Phone
(781) 329-0067
Fax
(781) 320-5603
NPI assigned
Jul 15, 2014
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5062 MA Primary

Addresses

Primary practice location

870 Providence Hwy
Dedham, MA 02026-6806

Mailing address

35 Rockway Ave Unit 403
Weymouth, MA 02188-4020
Phone (781) 223-6093

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
I20150601001866 MA Practitioner - Optometry 6608197785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lickteig Family Eyecare PCGroup PAC ID 6002096328, 14 clinicians

Practice addresses (Care Compare)

870 Providence Hwy
Dedham, MA 02026-6806
Phone (781) 328-0067

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lickteig Family Eyecare PC Optometrist CurrentSince Aug 9, 2016 Accepting new patients

Locations

870 Providence Hwy
Dedham, MA 02026
Phone (781) 328-0067

280 School St
Ste J140
Mansfield, MA 02048
Phone (508) 594-4510

15 Brook St
Ste 3
Medfield, MA 02052

4110 Mystic Valley Pkwy
Medford, MA 02155
Phone (781) 350-7008

1245 Worcester St
Ste 1024
Natick, MA 01760
Phone (508) 653-0223

Interoperability endpoints

  • Direct secure messaging: erin.lord@direct.revolutionehr.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": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1336556984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ROCKWAY AVE UNIT 403",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021884020",
            "telephone_number": "781-223-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266806",
            "telephone_number": "781-329-0067",
            "fax_number": "781-320-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

Verify at the official NPI Registry.