Lori Michele Angotti, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

990-OD Issued in WV

Practice address

120 Medical Park Dr
Suite 104
Bridgeport, WV 26330-9012

Phone

(304) 842-4000

Fax

(304) 842-8002

NPI assigned

Mar 26, 2007

Last updated

Sep 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Angotti Family Eyecare PLLC

  • Optometrist
  • Bridgeport, WV
  • NPI 1871998047
  Medicare reassignment NPD Authorized official
• Jeffery E. Gates, OD

  • Optometrist
  • Clarksburg, WV
  • NPI 1932318052
  NPD (past)
• United Eye Associates

  • Optometrist
  • Bridgeport, WV
  • NPI 1467737676
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1962520387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MUSGRAVE ST",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014141",
            "telephone_number": "304-626-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL PARK DR",
            "address_2": "SUITE 104",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309012",
            "telephone_number": "304-842-4000",
            "fax_number": "304-842-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGOTTI",
        "first_name": "LORI",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "990-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3102007000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ava Anderson, MOT
• Corey Anderson, DDS
• Angotti Family Eyecare PLLC
• Frank Thomas Angotti III, M.D.
• John David Angotti, MD
• Michael T. Angotti, MD
• Applegate Health Services, Inc (AppleGate Recovery Bridgeport)
• Apria Healthcare LLC
• Agnes Olga Asmar, MD
• Associated Specialists, Inc

• Optometrist in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.
• 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.