Individual provider Active NPI

Richard C Erickson, O.D.

  • Optometrist
  • Lancaster, MA
National Provider Identifier
1932120409
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2962 Issued in MA
Practice address
479 Old Union Tpke
Lancaster, MA 01523-3029
Phone
(978) 537-3900
Fax
(978) 537-6030
NPI assigned
Jul 21, 2006
Last updated
Apr 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2962 MA Primary

Addresses

Primary practice location

479 Old Union Tpke
Lancaster, MA 01523-3029

Mailing address

479 Old Union Tpke
Lancaster, MA 01523-3029
Phone (978) 537-3900

Other identifiers 1

IdentifierTypeStateIssuer
0350982MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2962MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
D'Ambrosio Eye Care, Inc. Optometrist Current Accepting new patients

Locations

100 Powdermill Rd
Acton, MA 01720
Phone (978) 897-1600

479 Old Union Tpke
Lancaster, MA 01523
Phone (978) 537-3900

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1932120409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 OLD UNION TPKE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233029",
            "telephone_number": "978-537-3900",
            "fax_number": "978-537-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "RICHARD",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0350982",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, MA

Sources for this page

Verify at the official NPI Registry.