Individual provider Active NPI

Christopher G. Lutz, O.D.

  • Optometrist
  • Freeport, NY
National Provider Identifier
1639289804
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007396-1 Issued in NY
Practice address
185 W Merrick Rd
Freeport, NY 11520-3712
Phone
(516) 867-1213
NPI assigned
Aug 30, 2006
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00562000 NJ
Optometrist 152W00000X TUV007396-1 NY Primary

Addresses

Primary practice location

185 W Merrick Rd
Freeport, NY 11520-3712

Mailing address

185 W Merrick Rd
Freeport, NY 11520-3712
Phone (516) 867-1213

Other identifiers 1

IdentifierTypeStateIssuer
8793603MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091109000177 NY Practitioner - Optometry 3870537152 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
27OA00562000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island CurrentSince Jul 1, 2018 Accepting new patients
Sajid Malik MD PC Optometrist CurrentSince Jun 15, 2022 Accepting new patients
Ophthalmic Consultants of Long Island CurrentSince Jul 1, 2018 Accepting new patients
Dr. Jim I. Ciccarello & Eyecare Associates, PC Optometrist Past Accepting new patients
Bayshore Ophthalmology, LLC Optometrist Past Accepting new patients
Joseph Bacotti MD PC Past Accepting new patients

Locations

4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

450 Endo Blvd
Garden City South, NY 11530
Phone (516) 832-8000

185 Woodbury Rd
Hicksville, NY 11801
Phone (516) 681-3937

755 Park Ave
Ste 100
Huntington, NY 11743
Phone (631) 223-0400

755 Park Ave
Huntington, NY 11743
Phone (631) 683-4235

188 Dyckman St
New York, NY 10040
Phone (347) 801-8888

185 Madison Ave
Fl 2
New York, NY 10016
Phone (212) 213-3737

732 Old Country Rd
Plainview, NY 11803
Phone (516) 822-3911

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

2000 N Village Ave
#13202
Rockville Ctr, NY 11570
Phone (516) 766-2519

1400 Wantagh Ave
Ste 207
Wantagh, NY 11793
Phone (516) 785-5757

Organizations & group practices 6

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1639289804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203712",
            "telephone_number": "516-867-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203712",
            "telephone_number": "516-867-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00562000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007396-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8793603",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.