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LORI ROTHMAN OD
NPI 1326164583
Optometrist in New York, NY

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
160 E 56TH ST, SUITE 300, NEW YORK, NY 10022(121) 268-8427(212) 421-2411 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lori Rothman Od NPPES

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

LORI ROTHMAN OD (NPI 1326164583) is an individual optometrist in New York, New York, licensed in New York (TUV004814-1) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (1987).

NPPES Registry Identity

NPI1326164583
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLORI ROTHMANCredential: OD
Location Address160 E 56TH ST, SUITE 300New York, NY 10022-3609
Mailing Address160 E 56th St, Suite 300New York, NY 10022-3609 · (121) 268-8427 · Fax (212) 421-2411
Phone(121) 268-8427
Fax(212) 421-2411
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 1987
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1326164583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · TUV004814-1
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
160 E 56TH ST, New York, NY 10022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori Rothman Od 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 ID1052417003
PECOS Enrollment IDI20070521000184
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.

Areas of Expertise CMS Part B claims 12

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
70 services47 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
47 services26 patients
Ct scan of cornea 92025
A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.
42 services28 patients
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.
39 services24 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
35 services17 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.
30 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10022 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLEE WOLLINS PT, DPT
Physical Therapist
160 E 56TH ST
NEW YORK, NY 10022
New York County (212) 355-7827
NY ORTHO, SPORTS MEDICINE, & TRAUMA, P.C.
Orthopaedic Surgery
160 E 56TH ST, 10TH FLOOR
NEW YORK, NY 10022
New York County (212) 371-4060
DR. ERIC A CRONE D.O.
Orthopaedic Surgery
160 E 56TH ST, 10TH FLOOR
NEW YORK, NY 10022
New York County (212) 371-4060
AMANDA E KINEE D.C.
Chiropractor
160 E 56TH ST, 6TH FLOOR
NEW YORK, NY 10022
New York County (310) 800-4956
KAMILLA BERNARDES OTR/L
Occupational Therapist
160 E 56TH ST
NEW YORK, NY 10022
New York County (212) 355-7827
MANHATTAN MEDICAL HEALTHCARE PC
Physical Medicine & Rehabilitation
160 E 56TH ST, 6FL
NEW YORK, NY 10022
New York County (212) 421-6509
ADRIAN PUIA RPT
Physical Therapist (Orthopedic)
160 E 56TH ST, 10TH FLOOR
NEW YORK, NY 10022
New York County (212) 371-4060
DR. KERRY WEEDFALL O.D.
Optometrist
160 E 56TH ST
NEW YORK, NY 10022
New York County (212) 688-4277

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 Lori Rothman's NPI number?

The NPI number for Lori Rothman is 1326164583. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Lori Rothman located?

Lori Rothman practices at 160 E 56th St Suite 300, New York, NY 10022. The listed phone number is (121) 268-8427.

What is Lori Rothman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lori Rothman enrolled in Medicare?

Yes. Lori Rothman 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.

What insurance does Lori Rothman accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 8 other insurers list Lori Rothman 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 Lori Rothman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.