Individual provider Active NPI

Lawrence D. Siegel, O.D.

  • Optometrist
  • Newton, MA
National Provider Identifier
1699779520
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3545 Issued in MA
Practice address
300 Needham St
#4
Newton, MA 02464-1532
Phone
(617) 232-0220
Fax
(617) 734-9738
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3545 MA Primary

Addresses

Primary practice location

300 Needham St
#4
Newton, MA 02464-1532

Mailing address

120 Eagle Rock Rd
Stoughton, MA 02072-3897
Phone (781) 344-3355

Other identifiers 1

IdentifierTypeStateIssuer
110016311AMedicaidMA

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
I20040216000514 MA Practitioner - Optometry 0941195408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kpatel OD, LLCGroup PAC ID 1355841768, 2 clinicians

Practice addresses (Care Compare)

300 Needham St
Suite 4
Newton, MA 02464-1572
Phone (617) 965-2540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kpatel OD, LLC Optometrist CurrentSince Jul 13, 2025 Accepting new patients
Richard W. Strecker, MD, PC Past Accepting new patients

Locations

300 Needham St
Ste 4
Newton Upper Falls, MA 02464
Phone (617) 232-0220

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1699779520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 EAGLE ROCK RD",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723897",
            "telephone_number": "781-344-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NEEDHAM ST",
            "address_2": "#4",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641532",
            "telephone_number": "617-232-0220",
            "fax_number": "617-734-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "LAWRENCE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110016311A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.