Individual provider Active NPI

Lorraine Dolores Riggers-Lassman, O.D.

  • Optometrist
  • Woodbridge, VA
National Provider Identifier
1891073839
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000481 Issued in VA
Practice address
2700 Potomac Mills Cir
Suite 208B
Woodbridge, VA 22192-4625
Phone
(703) 490-5275
Fax
(703) 490-1196
NPI assigned
Jul 25, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000481 VA Primary
Optometrist 152W00000X DA 2260 MD

Addresses

Primary practice location

2700 Potomac Mills Cir
Suite 208B
Woodbridge, VA 22192-4625

Mailing address

10158 Maxine St
Ellicott City, MD 21042-6317
Phone (410) 480-9285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170227000289 MD Practitioner - Optometry 2062736838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cho and Cho Professional, Inc.Group PAC ID 6406990373, 3 clinicians

Practice addresses (Care Compare)

4785 Dorsey Hall Dr
Suite 108
Ellicott City, MD 21042-7740

4785 Dorsey Hall Dr
Suite 108
Ellicott City, MD 21042-7862
Phone (410) 461-8606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA 2260MDMDOptometrist
0618000481VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cho & Cho Professional, Inc. Optometrist CurrentSince Nov 11, 2016 Accepting new patients
Steer Optical LLC PastSince Feb 13, 2017 Accepting new patients

Locations

8900 Columbia 100 Pkwy
Ste L
Columbia, MD 21045
Phone (410) 884-5508

4785 Dorsey Hall Dr
Ste 108
Ellicott City, MD 21042
Phone (410) 461-8606

Organizations & group practices 2

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1891073839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10158 MAXINE ST",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426317",
            "telephone_number": "410-480-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 POTOMAC MILLS CIR",
            "address_2": "SUITE 208B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924625",
            "telephone_number": "703-490-5275",
            "fax_number": "703-490-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGERS-LASSMAN",
        "first_name": "LORRAINE",
        "middle_name": "DOLORES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000481",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "DA 2260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.