Lori Anne Farabaugh, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2149 Issued in NC

Practice address

16747 US Highway 17 N Ste 140
Hampstead, NC 28443-3086

Phone

(910) 507-2019

Fax

(910) 363-0342

NPI assigned

Sep 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hampstead Optometry PA

  • Optometrist
  • Hampstead, NC
  • NPI 1497228688
  Medicare reassignment NPD Authorized official
• Hampstead Optometry PA

  • Optometrist
  • Hampstead, NC
  • NPI 1679032288
  NPD Authorized official
• Clark Optometric Center PA

  dba Triangle Visions Optometry

  • Optometrist
  • Durham, NC
  • NPI 1588619217
  NPD (past)
• Dugan Eye Institute

  • Ophthalmology Physician
  • Corpus Christi, TX
  • NPI 1831245356
  NPD (past)
• Roth and Russin LLC

  dba Main Line Eye Specialists

  • Ophthalmology Physician
  • Wayne, PA
  • NPI 1891781381
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1770685372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DRAKE RD",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284432550",
            "telephone_number": "856-495-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16747 US HIGHWAY 17 N STE 140",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433086",
            "telephone_number": "910-507-2019",
            "fax_number": "910-363-0342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285467325",
            "country_code": "US",
            "telephone_number": "910-355-3937",
            "fax_number": "910-347-6663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARABAUGH",
        "first_name": "LORI",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG01718",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2248",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770685372",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emergeortho, PA
• Kimberly Renee Ennis, LCSW
• Dillon Estes, PT
• Kayeloni Everhart, MSW, LCSW
• Wendy Falkowski, MS CCC-SLP
• Joseph S Farmer IV, PA-C
• Michael Favreau Jr.
• Delaney Rae Fay
• Judith Andrea Fernandez, MASSAGE THERAPIST
• Firm Healthcare PLLC

• Optometrist in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.

Verify at the official NPI Registry.