Individual provider Active NPI

Lusaper Lucy Sahagian, OD

  • Optometrist
  • Wellesley Hills, MA
National Provider Identifier
1487228466
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5470 Issued in MA
Practice address
1 Washington St Ste 304
Wellesley Hills, MA 02481-1706
Phone
(781) 235-5100
Fax
(781) 235-2444
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 5470 MA Primary

Addresses

Primary practice location

1 Washington St Ste 304
Wellesley Hills, MA 02481-1706

Mailing address

19 Harnden Ave
Watertown, MA 02472-3201
Phone (617) 458-9277

Other names 1

  • Losabir Ishakian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210804002173 MA Practitioner - Optometry 0749684371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Putnoi Eye Care PCGroup PAC ID 3577717933, 2 clinicians

Practice addresses (Care Compare)

1 Washington St
Wellesley, MA 02481-1706
Phone (781) 235-5100

20 Hope Ave
Suite 212
Waltham, MA 02453-2717
Phone (781) 235-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5470MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Putnoi Eye Care, P.C. CurrentSince Jul 2, 2021 Accepting new patients

Locations

20 Hope Ave
Ste 212
Waltham, MA 02453
Phone (781) 235-5100

1 Washington St
Ste 304
Wellesley Hills, MA 02481
Phone (781) 235-5100

Organizations & group practices 1

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1487228466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HARNDEN AVE",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024723201",
            "telephone_number": "617-458-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON ST STE 304",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024811706",
            "telephone_number": "781-235-5100",
            "fax_number": "781-235-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHAGIAN",
        "first_name": "LUSAPER",
        "middle_name": "LUCY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-09-23",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LOSABIR",
            "last_name": "ISHAKIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellesley Hills, MA

Sources for this page

Verify at the official NPI Registry.