Individual provider Active NPI

Lashaundra Dangerfield, OD

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1649784232
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-D87-TA-A98 Issued in AL
Practice address
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Phone
(205) 554-2847
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D87-TA-A98 AL Primary

Addresses

Primary practice location

3701 Loop Rd
Tuscaloosa, AL 35404-5015

Mailing address

777 Cleveland Ave SW
Atlanta, GA 30315-7129
Phone (404) 766-6268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180919004089 GA Practitioner - Optometry 8628329372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nassar Enterprises,LLC 4 clinicians

Practice addresses (Care Compare)

6524 Professional PL
Riverdale, GA 30274-2520
Phone (770) 996-2096

Merit-based Incentive Payment System (MIPS)

Final score
97.23 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D87-TA-A98ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nassar Enterprises,LLC Optometrist CurrentSince Jul 16, 2018 Accepting new patients
Nassar Enterprises Current Accepting new patients
Esog Associates LLC Past Accepting new patients

Locations

777 Cleveland Ave SW
Ste 616
Atlanta, GA 30315
Phone (404) 766-6268

303 Prime Pt
Ste 616
Peachtree Cty, GA 30269

303 Prime Pt
Peachtree Cty, GA 30269
Phone (404) 806-8773

6524 Professional Pl
Riverdale, GA 30274
Phone (770) 994-4060

Organizations & group practices 3

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": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1649784232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157129",
            "telephone_number": "404-766-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 LOOP RD",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354045015",
            "telephone_number": "205-554-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANGERFIELD",
        "first_name": "LASHAUNDRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D87-TA-A98",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.