Active NPI
Lindsey Ann Olesak, OD
- Optometrist
- Marquette, MI
National Provider Identifier
1679132161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005248
- Practice address
- 622 N 3Rd St
Marquette, MI 49855-3520 - Phone
- (906) 226-8800
- NPI assigned
- Jun 10, 2019
- Last updated
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005248 | MI | Primary |
Addresses
Primary practice location
622 N 3Rd St
Marquette, MI 49855-3520
Mailing address
131 Ridgewood Dr
Marquette, MI 49855-9336
Phone (906) 241-9251
Other names 1
- Lindsey Ann Lusardi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
622 N 3Rd St
Marquette, MI 49855-3520
Phone (906) 226-8800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stang Family Eyecare PC | Optometrist | Current | Accepting new patients |
Locations
622 N 3rd St
Marquette, MI 49855
Phone (906) 226-8800
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, 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": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1679132161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 RIDGEWOOD DR",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498559336",
"telephone_number": "906-241-9251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 N 3RD ST",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498553520",
"telephone_number": "906-226-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLESAK",
"first_name": "LINDSEY",
"middle_name": "ANN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSEY",
"last_name": "LUSARDI",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.