Individual provider Active NPI

Lori Catherine Guagenti-Engler, O.D.

  • Optometrist
  • Lewis Center, OH
National Provider Identifier
1609180488
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5946 Issued in OH
Practice address
6433 Pullman Dr
Lewis Center, OH 43035-7377
Phone
(740) 548-0100
Fax
(740) 548-2122
NPI assigned
Aug 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5946 OH Primary
Optometrist 152W00000X T2861 OH

Addresses

Primary practice location

6433 Pullman Dr
Lewis Center, OH 43035-7377

Mailing address

6433 Pullman Dr
Lewis Center, OH 43035-7377
Phone (740) 548-0100

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
I20101102001239 OH Practitioner - Optometry 8426242587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Eye Care LLCGroup PAC ID 7517151673, 2 clinicians

Practice addresses (Care Compare)

6456 Pullman Dr
Lewis Center, OH 43035-7377
Phone (740) 548-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5946OHMDOptometrist
T2861OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Eye Care LLC Optometrist CurrentSince Aug 24, 2010 Accepting new patients

Locations

6456 Pullman Dr
Lewis Center, OH 43035
Phone (740) 548-0100

6433 Pullman Dr
Lewis Center, OH 43035
Phone (740) 548-0100

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1609180488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6433 PULLMAN DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357377",
            "telephone_number": "740-548-0100",
            "fax_number": "740-548-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6433 PULLMAN DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357377",
            "telephone_number": "740-548-0100",
            "fax_number": "740-548-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAGENTI-ENGLER",
        "first_name": "LORI",
        "middle_name": "CATHERINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5946",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T2861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

Verify at the official NPI Registry.