Individual provider Active NPI

Lori J Smith, O.D.

  • Vision Therapy Optometrist
  • Hamburg, PA
National Provider Identifier
1598708554
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OEG000270 Issued in PA
Practice address
260 State St
Hamburg, PA 19526-1823
Phone
(610) 562-4548
Fax
(610) 562-1358
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X OEG000270 PA Primary

Addresses

Primary practice location

260 State St
Hamburg, PA 19526-1823

Mailing address

260 State St
Hamburg, PA 19526-1823
Phone (610) 562-4548

Other identifiers 2

IdentifierTypeStateIssuer
50003677OtherPABLUE CROSS
679974OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040109000471 PA Practitioner - Optometry 0143120998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John R Smith OD and Lori J Smith ODGroup PAC ID 1850419052, 2 clinicians

Practice addresses (Care Compare)

260 State St
Hamburg, PA 19526-1823
Phone (610) 562-4548

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000270PAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John R Smith OD and Lori J Smith OD Vision Therapy CurrentSince Sep 13, 1993 Accepting new patients

Locations

260 State St
#1
Hamburg, PA 19526
Phone (610) 562-4548

260 State St
#C
Hamburg, PA 19526

260 State St
Hamburg, PA 19526
Phone (610) 562-3066

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1598708554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 STATE ST",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261823",
            "telephone_number": "610-562-4548",
            "fax_number": "610-562-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 STATE ST",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261823",
            "telephone_number": "610-562-4548",
            "fax_number": "610-562-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LORI",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "PA",
            "license": "OEG000270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50003677",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "679974",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, PA

Sources for this page

Verify at the official NPI Registry.