Individual provider Active NPI

Lisa Ann Ortenzio, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1598766248
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27AO00548000 Issued in NJ
Practice address
20 E 46TH St
Penthouse
New York, NY 10017-2417
Phone
(212) 353-0030
Fax
(212) 353-0083
NPI assigned
Aug 3, 2005
Last updated
Dec 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27AO00548000 NJ Primary

Addresses

Primary practice location

20 E 46TH St
Penthouse
New York, NY 10017-2417

Mailing address

20 E 46TH St
Penthouse
New York, NY 10017-2417
Phone (212) 353-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050118000834 NJ Practitioner - Optometry 1951350842 Reassigns benefits to 1 organization
I20161013000633 NY Practitioner - Optometry 1951350842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bedminster Eye and Laser Center, P.a.Group PAC ID 8628023538, 3 clinicians

Practice addresses (Care Compare)

400 Main St
Bedminster, NJ 07921-2604
Phone (908) 781-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.98 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008502NYMDMental Health Counselor
27AO00548000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bedminster Eye and Laser Center, P.a. Optometrist CurrentSince Sep 3, 2019 Accepting new patients

Locations

400 Main St
Bedminster, NJ 07921
Phone (908) 332-2471

Interoperability endpoints

  • Direct secure messaging: lortenzio@bedminstereye.direct.eyemdemr.com

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, 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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1598766248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST",
            "address_2": "PENTHOUSE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172417",
            "telephone_number": "212-353-0030",
            "fax_number": "212-353-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 46TH ST",
            "address_2": "PENTHOUSE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100172417",
            "telephone_number": "212-353-0030",
            "fax_number": "212-353-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTENZIO",
        "first_name": "LISA ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27AO00548000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.