Active NPI
Terry Francis Lutz, O.D.
- Corneal and Contact Management Optometrist
- Utica, NY
National Provider Identifier
1780731398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3819
- Practice address
- 710 Horatio St Unit Z4
Vision Center
Utica, NY 13502-1400 - Phone
- (315) 733-7339
- Fax
- (315) 849-2166
- NPI assigned
- Jan 4, 2007
- Last updated
- Jul 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 3819 | NY | Primary |
Addresses
Primary practice location
710 Horatio St Unit Z4
Vision Center
Utica, NY 13502-1400
Mailing address
710 Horatio St Unit Z4
Vision Center
Utica, NY 13502-1400
Phone (315) 733-7339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00725860 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050718000653 | NY | Practitioner - Optometry | 8426084963 | Practice locations: Utica, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3819 | NY | MD | Corneal and Contact Management Optometrist |
| 003819 | NY | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1780731398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 HORATIO ST UNIT Z4",
"address_2": "VISION CENTER",
"city": "UTICA",
"state": "NY",
"postal_code": "135021400",
"telephone_number": "315-733-7339",
"fax_number": "315-849-2166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 HORATIO ST UNIT Z4",
"address_2": "VISION CENTER",
"city": "UTICA",
"state": "NY",
"postal_code": "135021400",
"telephone_number": "315-733-7339",
"fax_number": "315-849-2166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTZ",
"first_name": "TERRY",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "3819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00725860",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.