Individual provider Active NPI

Rebecca J Lauffenburger, O.D.

  • Pediatric Optometrist
  • Wooster, OH
National Provider Identifier
1881698694
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
5487 Issued in OH
Practice address
961 Dover Rd
Wooster, OH 44691-4105
Phone
(330) 262-0028
Fax
(330) 262-2808
NPI assigned
Jun 9, 2005
Last updated
Mar 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 5487 OH Primary

Addresses

Primary practice location

961 Dover Rd
Wooster, OH 44691-4105

Mailing address

961 Dover Rd
Wooster, OH 44691-4105
Phone (330) 262-0028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050422000009 OH Practitioner - Optometry 3678511557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

961 Dover Rd
Wooster, OH 44691-4105
Phone (330) 262-0028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care of Wooster LLC CurrentSince Jun 28, 2004 Accepting new patients

Locations

961 Dover Rd
Wooster, OH 44691
Phone (330) 262-0028

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1881698694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 DOVER RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914105",
            "telephone_number": "330-262-0028",
            "fax_number": "330-262-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 DOVER RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914105",
            "telephone_number": "330-262-0028",
            "fax_number": "330-262-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUFFENBURGER",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "OH",
            "license": "5487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.