DR. LAUREN G RISPOLI MD
NPI 1003801259
Ophthalmology in Verona, NJ

Q: What is Lauren Rispoli's NPI number?

The NPI number for Lauren Rispoli is 1003801259. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Q: What is Lauren Rispoli's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Rispoli was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 14, 2005PECOS EnrolledAccepts Medicare Assignment

VERONA OPTICIANS, 573 BLOOMFIELD AVE, VERONA, NJ 07044(973) 239-4518(973) 239-6210 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Lauren G Rispoli Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAUREN G RISPOLI MD (NPI 1003801259) is an individual ophthalmology provider in Verona, New Jersey, licensed in New Jersey (25MA5622000) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1989).

NPPES Registry Identity

NPI1003801259

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. LAUREN G RISPOLICredential: MD

Location AddressVERONA OPTICIANS, 573 BLOOMFIELD AVEVerona, NJ 07044-1818

Mailing Address46 Eagle Rock AveEast Hanover, NJ 07936-3104 · (973) 560-1500 · Fax (973) 560-0419

Phone(973) 239-4518

Fax(973) 239-6210

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 1989

Enumeration DateSeptember 14, 2005

Last NPPES UpdateNovember 27, 2024

NPPES CertifiedNovember 27, 2024

✔ NPI 1003801259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in NJ · 25MA5622000✔ Licensed in NJ · MA056220

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

VERONA OPTICIANS, Verona, NJ 07044

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Other Identifiers 1

Medicaid5570301NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lauren G Rispoli Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284814948

PECOS Enrollment IDI20110211000886

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Lauren Rispoli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eye Surgeons And Physicians, PA

4.2 mi

Ophthalmology

5 FRANKLIN AVE, SUITE 209
Belleville, NJ 07109

Reassigned Medicare billing, New Jersey enrollment
4 clinicians in this Medicare group

NPI 1659307858 (973) 751-6060

Ophthalmology Nj LLC

21 mi

Ophthalmology

400 VALLEY RD STE 106
Mt Arlington, NJ 07856

Reassigned Medicare billing, New Jersey enrollment
15 clinicians in this Medicare group

NPI 1609649698 (973) 584-4451

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

108 services57 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

61 services48 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

46 services43 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

42 services30 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

35 services32 patients

Exam to measure eye deviation and range of motion 92060

This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Rispoli's NPI number?

The NPI number for Lauren Rispoli is 1003801259. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Lauren Rispoli located?

Lauren Rispoli practices at Verona Opticians 573 Bloomfield Ave, Verona, NJ 07044. The listed phone number is (973) 239-4518.

What is Lauren Rispoli's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Lauren Rispoli enrolled in Medicare?

Yes. Lauren Rispoli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lauren Rispoli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Rispoli reassigns Medicare benefits to 2 organizations: Eye Surgeons And Physicians, PA (Belleville, NJ) and Ophthalmology Nj LLC (Mt Arlington, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Rispoli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Rispoli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and Oscar Health list Lauren Rispoli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Rispoli was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.