Active NPI
Lydia Songprasit, O.D.
- Optometrist
- Edison, NJ
National Provider Identifier
1902142474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 27OA00640900
- Practice address
- 55 Parsonage Rd
Edison, NJ 08837-2480 - Phone
- (732) 548-7737
- NPI assigned
- Jan 2, 2013
- Last updated
- Jul 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 27OA00640900 | NJ | Primary |
Addresses
Primary practice location
55 Parsonage Rd
Edison, NJ 08837-2480
Mailing address
55 Parsonage Rd
Edison, NJ 08837-2480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ira Krumholtz O.D.,P.a. | Optometrist | Current | Accepting new patients |
Locations
3391 State Route 27
Ste 112
Franklin Park, NJ 08823
Phone (732) 940-0900
3070 Bristol Pike
Ste 2-220
Bensalem, PA 19020
Phone 2144971001108
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.
-
- Optometrist
- Franklin Park, NJ
- NPI 1265802995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1902142474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 PARSONAGE RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 PARSONAGE RD",
"city": "EDISON",
"state": "NJ",
"postal_code": "088372480",
"telephone_number": "732-548-7737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONGPRASIT",
"first_name": "LYDIA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-02",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00640900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.