Individual provider Active NPI

Monica Lai

  • Optometrist
  • North Olmsted, OH
National Provider Identifier
1598210486
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6482 Issued in OH
Practice address
652 Great Northern Mall
North Olmsted, OH 44070-3306
Phone
(440) 734-5037
NPI assigned
Aug 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6482 OH Primary

Addresses

Primary practice location

652 Great Northern Mall
North Olmsted, OH 44070-3306

Mailing address

652 Great Northern Mall
North Olmsted, OH 44070-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180815001943 OH Practitioner - Optometry 9739438367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Dr. George D. Poulos and Associates, Inc.Group PAC ID 1850395179, 10 clinicians

Practice addresses (Care Compare)

832 Great Northern Mall
North Olmsted, OH 44070-3300
Phone (440) 777-9904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6482OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. George D. Poulos & Associates, Inc. Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

832 Great Northern Mall
North Olmsted, OH 44070
Phone (440) 777-3097

17090 Royalton Rd
Strongsville, OH 44136
Phone (440) 572-4421

247 Main St
Spc 1020
Westlake, OH 44145
Phone (440) 788-4223

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1598210486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "652 GREAT NORTHERN MALL",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 GREAT NORTHERN MALL",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703306",
            "telephone_number": "440-734-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "MONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.