Individual provider Active NPI

Richard Kenneth Lodwick, O.D.

  • Optometrist
  • Williamsburg, VA
National Provider Identifier
1346269560
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001367 Issued in VA
Practice address
101 Bulifants Blvd Ste a
Williamsburg, VA 23188-5709
Phone
(757) 564-1907
Fax
(757) 564-1913
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 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 0618001367 VA Primary

Addresses

Primary practice location

101 Bulifants Blvd Ste a
Williamsburg, VA 23188-5709

Mailing address

101 Bulifants Blvd Ste a
Williamsburg, VA 23188-5709
Phone (757) 564-1907

Other identifiers 5

IdentifierTypeStateIssuer
010050308MedicaidVA
0974810001OtherVACIGNA DMERC
76039OtherOPTIMA
103481OtherVAANTHEM
410047254OtherVARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040514000522 VA Practitioner - Optometry 9830189513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Lundberg and Lodwick, Optometrists PCGroup PAC ID 1658271234, 3 clinicians

Practice addresses (Care Compare)

101 Bulifants Blvd
Suite a
Williamsbirg, VA 23188-5721
Phone (757) 564-1907

Hospital & facility affiliations

  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066

Merit-based Incentive Payment System (MIPS)

Final score
79.5 of 100Reported as individual
Quality
70.91
Promoting interoperability
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5323OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Lundberg and Lodwick, Optometrists PC Optometrist CurrentSince Jan 1, 2004 Accepting new patients

Locations

101 Bulifants Blvd
Ste A
Williamsburg, VA 23188
Phone (757) 564-1907

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1346269560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BULIFANTS BLVD STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885709",
            "telephone_number": "757-564-1907",
            "fax_number": "757-564-1913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BULIFANTS BLVD STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885709",
            "telephone_number": "757-564-1907",
            "fax_number": "757-564-1913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODWICK",
        "first_name": "RICHARD",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010050308",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DMERC",
            "identifier": "0974810001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "76039",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "103481",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410047254",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.