Individual provider Active NPI

Nyla Ann Lambert, O.D.

  • Optometrist
  • Groveland, MA
National Provider Identifier
1558301663
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4306 Issued in MA
Practice address
939 Salem St
Suite 7
Groveland, MA 01834-1565
Phone
(978) 374-8991
Fax
(978) 373-7852
NPI assigned
Jun 7, 2006
Last updated
Dec 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4306 MA Primary

Addresses

Primary practice location

939 Salem St
Suite 7
Groveland, MA 01834-1565

Mailing address

939 Salem St
Suite 7
Groveland, MA 01834-1565
Phone (978) 374-8991

Other identifiers 3

IdentifierTypeStateIssuer
AA12124OtherMAHARVARD PILGRIM
W16356OtherMABCBS
329592MedicaidMA

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
I20031117000132 MA Practitioner - Optometry 7315851185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio Medical University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Laura Anne Potvin PCGroup PAC ID 9032023890, 4 clinicians

Practice addresses (Care Compare)

939 Salem St
Unit 7
Groveland, MA 01834-1566
Phone (978) 374-8991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4306MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Laura Anne Potvin, P.C. Optometrist CurrentSince Sep 1, 2003 Accepting new patients

Locations

939 Salem St
Unit 7
Groveland, MA 01834
Phone (978) 374-8991

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, 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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1558301663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 SALEM ST",
            "address_2": "SUITE 7",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341565",
            "telephone_number": "978-374-8991",
            "fax_number": "978-373-7852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 SALEM ST",
            "address_2": "SUITE 7",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341565",
            "telephone_number": "978-374-8991",
            "fax_number": "978-373-7852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "NYLA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA12124",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W16356",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329592",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, MA

Sources for this page

Verify at the official NPI Registry.