NPIMap

Organization Active NPI

Lea Optometric. PC

  • Optometrist
  • Newmarket, NH
National Provider Identifier
1649464470
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0722 Issued in NH
Legal business name
LEA OPTOMETRIC. PC
Practice address
141 Main St
Suite 5
Newmarket, NH 03857-1667
Phone
(603) 659-2015
Fax
(603) 659-2737
NPI assigned
Sep 5, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Lauren K McLoughlin, ODNPI 1790788719
Title
Owner
Phone
(603) 659-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0722 NH Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4411 MA
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 0671 NH
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4245 MA

Addresses

Primary practice location

141 Main St
Suite 5
Newmarket, NH 03857-1667

Mailing address

141 Main St
Suite 5
Newmarket, NH 03857-1667
Phone (603) 659-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191120001910 NH Part B Supplier - Clinic/Group Practice 3173678034 Receives reassigned benefits from 3 practitioners
Practice locations: Newmarket, NH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Lea Optometric PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24R Pleasant St
Newburyport, MA 01950
Phone (978) 465-2405

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1649464470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MAIN ST",
            "address_2": "SUITE 5",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571667",
            "telephone_number": "603-659-2015",
            "fax_number": "603-659-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MAIN ST",
            "address_2": "SUITE 5",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571667",
            "telephone_number": "603-659-2015",
            "fax_number": "603-659-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEA OPTOMETRIC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "MCLOUGHLIN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-659-2015",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0722",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4411",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0671",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newmarket, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.