Individual provider Active NPI

Lori D Berwald, OD

  • Optometrist
  • Olathe, KS
National Provider Identifier
1508831439
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1576 Issued in KS
Practice address
21020 W 151St St
Olathe, KS 66061-7200
Phone
(913) 829-5511
Fax
(913) 829-5571
NPI assigned
Feb 22, 2006
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1576 KS Primary
Optometrist 152W00000X 2000145672 MO

Addresses

Primary practice location

21020 W 151St St
Olathe, KS 66061-7200

Mailing address

PO Box 219241
Kansas City, MO 64121-9241
Phone (913) 829-5511

Other identifiers 1

IdentifierTypeStateIssuer
P00167129OtherKSRAILROAD MEDICARE

Other names 1

  • Dr. Lori D McQuigg Former name

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.14 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2000145672MOMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1508831439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219241",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641219241",
            "telephone_number": "913-829-5511",
            "fax_number": "913-829-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21020 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617200",
            "telephone_number": "913-829-5511",
            "fax_number": "913-829-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERWALD",
        "first_name": "LORI",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1576",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2000145672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00167129",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "MCQUIGG",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.