Individual provider Active NPI

Lori A Kurutz, O.D.

  • Optometrist
  • Greensburg, PA
National Provider Identifier
1851477269
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000995 Issued in PA
Practice address
156 Westomoreland Mall Blvd. RT. 30 East
Greensburg, PA 15601
Phone
(724) 834-5757
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000995 PA Primary

Addresses

Primary practice location

156 Westomoreland Mall Blvd. RT. 30 East
Greensburg, PA 15601

Mailing address

521 Deauville Drive Apt. B-3
Monroeville, PA 15146
Phone (724) 374-7341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110303000162 PA Practitioner - Optometry 5597947119 Practice locations: Delmont, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002387CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Eye Group PC PastSince Oct 23, 2000 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851477269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 DEAUVILLE DRIVE APT. B-3",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "724-374-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WESTOMORELAND MALL BLVD. RT. 30 EAST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "15601",
            "telephone_number": "724-834-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUTZ",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.