Lior Koppel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0A05164 Issued in NJ

Practice address

911 Oak Tree Ave Ste C
South Plainfield, NJ 07080-5130

Phone

(908) 822-1100

Fax

(908) 822-1102

NPI assigned

Jan 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

US Visionmed Partners Optometry of New Jersey LLCGroup PAC ID 4981139409, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drk@eyekraftersmedical.eyefinity-direct.com

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.

• US Visionmed Partners Optometry of New Jersey LLC

  • Ophthalmology Physician
  • South Plainfield, NJ
  • NPI 1649006198
  Medicare reassignment Care Compare group NPD Authorized official
• Eyekrafters Medical Optics,P.C.

  dba Eyekrafters Optical

  • Optometrist
  • South Plainfield, NJ
  • NPI 1578614947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1356492789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 OAK TREE AVE STE C",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805130",
            "telephone_number": "908-822-1100",
            "fax_number": "908-822-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 OAK TREE AVE STE C",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805130",
            "telephone_number": "908-822-1100",
            "fax_number": "908-822-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPEL",
        "first_name": "LIOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "0A05164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6330100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Kile, RDN
• Rachel Y Kim, OTD, OTR/L
• Joseph Njoroge Kimani
• Douglas Klein, DDS
• Kenneth A Klieger, DDS
• David Kornas, RPH
• Samantha Kosty
• Harish B Kothari, MD
• Nitin Kumar, PHARMD
• Kalpana Kumari, M.D.

• Optometrist in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.