Individual provider Active NPI

Lani Siddique, O.D.

  • Optometrist
  • Allentown, PA
National Provider Identifier
1447416995
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001624 Issued in PA
Practice address
5940 Hamilton Blvd
Allentown, PA 18106-9648
Phone
(610) 481-9200
NPI assigned
Aug 4, 2008
Last updated
Aug 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 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 OEG001624 PA Primary

Addresses

Primary practice location

5940 Hamilton Blvd
Allentown, PA 18106-9648

Mailing address

3096 Village Dr
Center Valley, PA 18034-8445
Phone (610) 861-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241015002545 SC Practitioner - Optometry 4880126846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus Eye Care Center PCGroup PAC ID 4082607346, 4 clinicians

Practice addresses (Care Compare)

612 Saint Andrews Rd
Suite 12
Columbia, SC 29210-5120
Phone (803) 766-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001624PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Eye Care Center, PC Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Focus Eye Care Center, PC Optometrist CurrentSince Sep 1, 2024 Accepting new patients

Locations

10060 Two Notch Rd
Columbia, SC 29223
Phone (803) 419-6240

612 Saint Andrews Rd
Ste 12
Columbia, SC 29210
Phone (803) 732-4099

115 E Church St
Leesville, SC 29070
Phone (803) 532-5226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1447416995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 VILLAGE DR",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348445",
            "telephone_number": "610-861-9099",
            "fax_number": "610-861-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5940 HAMILTON BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069648",
            "telephone_number": "610-481-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "LANI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.