Individual provider Active NPI

Lydia Songprasit, O.D.

  • Optometrist
  • Edison, NJ
National Provider Identifier
1902142474
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00640900 Issued in NJ
Practice address
55 Parsonage Rd
Edison, NJ 08837-2480
Phone
(732) 548-7737
NPI assigned
Jan 2, 2013
Last updated
Jul 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000102 NJ Practitioner - Optometry 8325289002 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ira Krumholtz O.D.,P.a. Optometrist CurrentSince Feb 19, 2018 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.

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

Verify at the official NPI Registry.