Mimi Lai, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5061 T1938 Issued in OH

Practice address

602 South St
Suite B14
Chardon, OH 44024-1499

Phone

(440) 285-5007

Fax

(440) 285-4313

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Ohio, LLCGroup PAC ID 7719211010, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mlai032866@myeyedr.emadirect.md

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.

• Myeyedr Optometry of Ohio, LLC

  • Optometrist
  • Dayton, OH
  • NPI 1902365448

  OH, Optometrist

  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Ohio, LLC

  • Optometrist
  • Warren, OH
  • NPI 1720970981
  NPD
• Myeyedr Optometry of Ohio, LLC

  • Optometrist
  • Marion, OH
  • NPI 1952863094
  NPD
• Eyecare Indiana II, P.C.

  • Optometrist
  • Indianapolis, IN
  • NPI 1407134950
  NPD (past)

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1629434618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 SOUTH ST",
            "address_2": "SUITE B14",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241499",
            "telephone_number": "440-285-5007",
            "fax_number": "440-285-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 SOUTH ST",
            "address_2": "SUITE B14",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241499",
            "telephone_number": "440-285-5007",
            "fax_number": "440-285-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAI",
        "first_name": "MIMI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5061  T1938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kutler
• L. Douglas Patton OD
• L. Douglas Patton,O.D., Inc.
• Karen Lackey
• Jennifer G Lacortiglia, LISW S
• Lake County Foot & Ankle Associates, LLC
• Lake County Foot & Ankle Associates, LLC
• Lake Hospital System Inc
• Lake Hospital System, Inc
• Lake Hospital System, Inc.

• Optometrist in Chardon, OH
• Providers in Chardon, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.