Organization Active NPI

Lehigh Retina Specialists, P.C.

  • Ophthalmology Physician
  • Allentown, PA
National Provider Identifier
1437157161
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD048976L Issued in PA
Legal business name
LEHIGH RETINA SPECIALISTS, P.C.
Practice address
1251 S Cedar Crest Blvd
Suite 307
Allentown, PA 18103-6205
Phone
(610) 820-6320
Fax
(610) 820-8376
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Masayuki Kazahaya, M.D.NPI 1619974391
Title
Physician
Phone
(610) 820-6320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD048976L PA Primary

Addresses

Primary practice location

1251 S Cedar Crest Blvd
Suite 307
Allentown, PA 18103-6205

Mailing address

1251 S Cedar Crest Blvd
Suite 307
Allentown, PA 18103-6205
Phone (610) 820-6320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809000431 PA Part B Supplier - Clinic/Group Practice 9638141989 Receives reassigned benefits from 6 practitioners
Practice locations: Allentown, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2066240Lehigh Retina Specialists1251 S Cedar Crest Blvd Suite 307, Allentown, PA 18103Certificate of waiverSep 23, 2027

National Provider Directory

National Provider Directory

Locations

1251 S Cedar Crest Blvd
Ste 307
Allentown, PA 18103
Phone (610) 820-6320

5201 Hamilton Blvd
Allentown, PA 18106
Phone (610) 395-3659

2045 Westgate Dr
Ste 106
Bethlehem, PA 18017

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437157161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "SUITE 307",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-820-6320",
            "fax_number": "610-820-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "SUITE 307",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-820-6320",
            "fax_number": "610-820-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH RETINA SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAZAHAYA",
        "authorized_official_first_name": "MASAYUKI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-820-6320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD048976L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.