Lpec Medical Eye Care PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LPEC MEDICAL EYE CARE PLLC

Doing business as

Lake Plains Eye Center

Practice address

500 Erie St S
Medina, NY 14103-1010

Phone

(585) 798-2020

Fax

(585) 798-3365

NPI assigned

Aug 31, 2006

Last updated

Jun 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elaine R Watts

Title

Office Manager

Phone

(585) 798-2020

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lake Plains Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Clayton Cosman, M.D.

  • Ophthalmology Physician
  • Medina, NY
  • NPI 1326099789
  Medicare reassignment Care Compare group NPD
• Sharon Cristine Huynh, O.D.

  • Optometrist
  • Brockport, NY
  • NPI 1083845135
  Medicare reassignment Care Compare group NPD
• James Sickler, O.D.

  • Optometrist
  • Medina, NY
  • NPI 1922256205
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1982715686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ERIE ST SOUTH",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031010",
            "telephone_number": "585-798-2020",
            "fax_number": "585-798-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ERIE ST S",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031010",
            "telephone_number": "585-798-2020",
            "fax_number": "585-798-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPEC MEDICAL EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-798-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "120403",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02873274",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE ROCHESTER",
            "identifier": "P017812763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Plains Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Molly E Lane, LPN
• Dana Jo Larkin, DPT
• Michelle L Leffler, RPH
• Lesly Germain MD PC
• Rand E. Little, P.A-C
• Lpec Medical Eyecare PLLC (Lake Plains Eye Center)
• Mary Elizabeth Luhr Johnson, CRNA
• Thomas J Madejski, MD
• Cindy Michelle Marzan, LPN
• Debra Lynn Mattoon, LPN

• Ophthalmology Physician in Medina, NY
• Providers in Medina, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.