Individual provider Active NPI

Nicole R Lifson, MD

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1730743477
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1014020 Issued in MA
Practice address
243 Charles St
Boston, MA 02114-3096
Phone
(617) 573-3288
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1014020 MA Primary

Addresses

Primary practice location

243 Charles St
Boston, MA 02114-3096

Mailing address

243 Charles St
Boston, MA 02114-3096
Phone (617) 573-3288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802000807 TX Practitioner - Ophthalmology 1850626961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Center of Texas LLPGroup PAC ID 8224054259, 19 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Blvd
Suite 118
Conroe, TX 77304-2821
Phone (936) 647-1520

15400 Southwest Fwy
Suite 301
Sugar Land, TX 77478-3878
Phone (281) 277-1010

4415 Crenshaw Rd
Pasadena, TX 77504-3628
Phone (281) 977-8888

455 E Medical Ctr Blvd
Suite 110
Webster, TX 77598-4393
Phone (281) 332-1397

6565 W Loop S
Bellaire, TX 77401-3505
Phone (713) 797-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of Texas LLP CurrentSince Jul 9, 2024 Accepting new patients

Locations

6565 West Loop S
Ste 650
Bellaire, TX 77401

100 Medical Center Blvd
#1
Conroe, TX 77304
Phone (936) 647-1520

100 Medical Center Blvd
Ste 118
Conroe, TX 77304
Phone (936) 539-4031

2051 Greenhouse Rd
Ste 110
Houston, TX 77084

4415 Crenshaw Rd
Pasadena, TX 77504
Phone (281) 998-0500

15200 Southwest Fwy
Ste 130
Sugar Land, TX 77478
Phone (281) 265-8500

455 E Medical Center Blvd
Ste 110
Webster, TX 77598
Phone (281) 332-1397

Interoperability endpoints

  • Direct secure messaging: nicolelifson@eyectrtx.direct.eyemdemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1730743477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143096",
            "telephone_number": "617-573-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHARLES ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143096",
            "telephone_number": "617-573-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIFSON",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "1014020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.