Active NPI
Kristina Lazar, O.D.
- Optometrist
- Malden, MA
National Provider Identifier
1962758581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4917
- Practice address
- 1 Highland Ave
#3B
Malden, MA 02148-6603 - Phone
- (781) 321-9039
- NPI assigned
- Aug 1, 2012
- 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 | 4917 | MA | Primary |
Addresses
Primary practice location
1 Highland Ave
#3B
Malden, MA 02148-6603
Mailing address
1 Highland Ave
#3B
Malden, MA 02148-6603
Phone (781) 321-9039
Other names 1
- Kristina Lacey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
198 Colony Place Rd
Plymouth, MA 02360-7233
Phone (508) 732-0196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 and National Provider Directory roles.
-
- Optometrist
- Malden, MA
- NPI 1063610194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1962758581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HIGHLAND AVE",
"address_2": "#3B",
"city": "MALDEN",
"state": "MA",
"postal_code": "021486603",
"telephone_number": "781-321-9039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HIGHLAND AVE",
"address_2": "#3B",
"city": "MALDEN",
"state": "MA",
"postal_code": "021486603",
"telephone_number": "781-321-9039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZAR",
"first_name": "KRISTINA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-01",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "LACEY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Malden, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.