Individual provider Active NPI

Lacey Priscilla Faust, OD

  • Optometrist
  • Florence, MA
National Provider Identifier
1992483267
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5645 Issued in MA
Practice address
40 Main St Ste 106
Florence, MA 01062-3100
Phone
(413) 584-6422
Fax
(413) 584-4346
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5645 MA Primary

Addresses

Primary practice location

40 Main St Ste 106
Florence, MA 01062-3100

Mailing address

40 Main St Ste 106
Florence, MA 01062-3100
Phone (413) 584-6422

Other practice location 1

1 University Dr S
Amherst, MA 01002-2868
Phone (413) 584-6422

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230905003151 MA Practitioner - Optometry 1658734868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians of Northampton PC 7 clinicians

Practice addresses (Care Compare)

40 Main St
Suite 106
Florence, MA 01062-3100
Phone (413) 584-6422

Merit-based Incentive Payment System (MIPS)

Final score
90.13 of 100Reported as group
Quality
92.85
Improvement activities
40
Cost
76.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5645MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Northampton, PC CurrentSince Aug 21, 2023 Accepting new patients
Eye Physicians of Northampton CurrentSince Aug 21, 2023 Accepting new patients

Locations

40 Main St
Ste 106
Northampton, MA 01062
Phone (413) 584-6422

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1992483267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN ST STE 106",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623100",
            "telephone_number": "413-584-6422",
            "fax_number": "413-584-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN ST STE 106",
            "city": "FLORENCE",
            "state": "MA",
            "postal_code": "010623100",
            "telephone_number": "413-584-6422",
            "fax_number": "413-584-4346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 University Dr S",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "MA",
            "postal_code": "010022868",
            "country_code": "US",
            "telephone_number": "413-584-6422",
            "fax_number": "413-584-4346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUST",
        "first_name": "LACEY",
        "middle_name": "PRISCILLA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, MA

Sources for this page

Verify at the official NPI Registry.