Lauren Dickerman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4211 Issued in MA

Practice address

19 Dunster St
Cambridge, MA 02138-5002

Phone

(617) 354-5590

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

New England College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harvard Square Eye Care P.C.Group PAC ID 6002945037, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Harvard Square Eye Care P.C.

  • Optometrist
  • Cambridge, MA
  • NPI 1003002155
  Medicare reassignment Care Compare group NPD Authorized official
• Crown Point Eye Care

  • Optometrist
  • Crown Point, IN
  • NPI 1023535523
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1790874667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DUNSTER ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385002",
            "telephone_number": "617-354-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DUNSTER ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385002",
            "telephone_number": "617-354-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERMAN",
        "first_name": "LAUREN",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334570",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louise Dias, PA
• Mariah Elizabeth Diaz, CPNP
• Sabrina Marie Diaz, DC
• Tristan Diaz, FNP
• Camille M Dibenedetto, PSYD
• Julia N Dickinson, CNM
• Rachelle Dickinson, OTR/L
• Samuel Diedhiou, M.ED
• Maud Dieudonne
• Julia Mabel Digenan

• Optometrist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.