NPIMap

Individual provider Active NPI

Roderick D Lorente, O.D.

  • Optometrist
  • Walpole, MA
National Provider Identifier
1366469090
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2535 Issued in MA
Practice address
550 Providence Hwy
Walpole, MA 02081-4231
Phone
(508) 668-0047
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2535 MA Primary

Addresses

Primary practice location

550 Providence Hwy
Walpole, MA 02081-4231

Mailing address

39 Whitney Rd
Harvard, MA 01451-1405
Phone (978) 456-8189

Other identifiers 1

IdentifierTypeStateIssuer
0336416MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2535MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart S. Fay, M.D., P.C. Past Accepting new patients
Barnstable Eye PC Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1366469090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WHITNEY RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511405",
            "telephone_number": "978-456-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PROVIDENCE HWY",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020814231",
            "telephone_number": "508-668-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENTE",
        "first_name": "RODERICK",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0336416",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.