Alex Lupolt, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003669 Issued in PA

Practice address

4504 Westbranch Hwy
Lewisburg, PA 17837-6605

Phone

(570) 768-4970

NPI assigned

May 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Vision Eyecare LLC 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.98 of 100Reported as group

Quality

98.61

Improvement activities

40

Cost

78.44

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alupolt@cve.intellechartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Vision Eyecare LLC

  • Optometrist
  • Milton, PA
  • NPI 1578034187
  Medicare reassignment Care Compare group NPD
• David F. Fetterman, O.D.P.C.

  • Optometrist
  • Milton, PA
  • NPI 1093879629
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1962025239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 COUNTY LINE RD",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178708187",
            "telephone_number": "570-765-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 WESTBRANCH HWY",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376605",
            "telephone_number": "570-768-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPOLT",
        "first_name": "ALEX",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachelle Lorson, PTA
• Jeffrey R Lose, OD
• Mary Tate Lotspeich, LCSW
• Daniel J. Lovestrand, M.D.
• Michael P Lundy
• Wendy Luskin, SLP, CCC
• Lutheran Senior Services East
• Tasha Lyter
• Jennifer L Macdonald, PA-C
• Nancy Macky

• All providers in Lewisburg, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.