Active NPI
Mark Paul Lambrecht, OD
- Optometrist
- Beaufort, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2187-035
- Practice address
- 1 Pinckney Blvd
Beaufort, SC 29902-6148 - Phone
- (843) 228-5577
- Fax
- (843) 228-5196
- NPI assigned
- Dec 30, 2005
- Last updated
- Feb 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | MN2254 | MN | |
| Optometrist | 152W00000X | 2187-035 | WI | Primary |
Addresses
Primary practice location
1 Pinckney Blvd
Beaufort, SC 29902-6148
Mailing address
77 Pepperrell Rd
Box 36
Kittery Point, ME 03905
Phone (207) 439-1452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2254 | MN | MD | Professional Counselor |
| MN2254 | MN | MD | Optometrist |
| 2187-035 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Earth Indian Health Center | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Pine Point Health Station | Current | Accepting new patients | |
| Naytahwaush Health Center | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients |
Locations
40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300
40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300
Organizations & group practices 5
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.
-
dba Northern Navajo Medical Center
- General Acute Care Hospital
- Shiprock, NM
- NPI 1780639971
TX
-
- General Acute Care Hospital
- Teec Nos Pos, AZ
- NPI 1477615789
-
dba White Earth Health Center
- Federal Public Health Clinic/Center
- Mahnomen, MN
- NPI 1740202308
-
dba White Earth Health Center
- Federal Public Health Clinic/Center
- Ponsford, MN
- NPI 1679587331
-
dba White Earth Health Center
- Federal Public Health Clinic/Center
- Ogema, MN
- NPI 1093761710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456099200000",
"number": "1447237326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 PEPPERRELL RD",
"address_2": "BOX 36",
"city": "KITTERY POINT",
"state": "ME",
"postal_code": "03905",
"telephone_number": "207-439-1452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PINCKNEY BLVD",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "299026148",
"telephone_number": "843-228-5577",
"fax_number": "843-228-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBRECHT",
"first_name": "MARK",
"middle_name": "PAUL",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2016-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "MN2254",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2187-035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.