Individual provider Active NPI

Lori B Michaud, O.D.

  • Optometrist
  • N Dartmouth, MA
National Provider Identifier
1679656011
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MA 4292 Issued in MA
Practice address
500 Faunce Corner Rd
110
N Dartmouth, MA 02747-1278
Phone
(508) 717-0270
Fax
(508) 995-3060
NPI assigned
Oct 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MA 4292 MA Primary

Addresses

Primary practice location

500 Faunce Corner Rd
110
N Dartmouth, MA 02747-1278

Mailing address

500 Faunce Corner Rd
110
N Dartmouth, MA 02747-1278
Phone (508) 717-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040809000545 MA Practitioner - Optometry 9234101494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Centers IncGroup PAC ID 8527052539, 15 clinicians

Practice addresses (Care Compare)

500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1255
Phone 5087170270232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA 4292MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Centers Inc Optometrist CurrentSince Jan 31, 2011 Accepting new patients
Advanced Eye Centers FR LLC Past Accepting new patients

Locations

1741 President Ave
Fall River, MA 02720
Phone (508) 674-2020

700 Pleasant St
Ste 130
New Bedford, MA 02740
Phone (508) 717-0477

500 Faunce Corner Rd
Ste 110
North Dartmouth, MA 02747
Phone (508) 717-0270

Organizations & group practices 2

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": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1679656011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FAUNCE CORNER RD",
            "address_2": "110",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471278",
            "telephone_number": "508-717-0270",
            "fax_number": "508-995-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAUNCE CORNER RD",
            "address_2": "110",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471278",
            "telephone_number": "508-717-0270",
            "fax_number": "508-995-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "LORI",
        "middle_name": "B",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "MA 4292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.