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MICHAEL DAVID LACK O.D.
NPI 1538119516
Optometrist in Plattsburgh, NY

Active since May 11, 2006PECOS Enrolled
450 MARGARET ST, PLATTSBURGH, NY 12901(518) 566-2020(518) 561-5390 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael David Lack O.d. NPPES

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

MICHAEL DAVID LACK O.D. (NPI 1538119516) is an individual optometrist in Plattsburgh, New York, licensed in New York (TUV003563-1) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538119516
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMICHAEL DAVID LACKCredential: O.D.
Location Address450 MARGARET STPlattsburgh, NY 12901-1755
Mailing Address450 Margaret StPlattsburgh, NY 12901-1755 · (518) 566-2020 · Fax (518) 561-5390
Phone(518) 566-2020
Fax(518) 561-5390
Sole ProprietorYes
Enumeration DateMay 11, 2006
Last NPPES UpdateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1538119516 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 · TUV003563-1
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.
450 MARGARET ST, Plattsburgh, NY 12901
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Other Identifiers 1

Medicaid00568070NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael David Lack O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

DR. JOSEPH ANTHONY RINI M.D.
Ophthalmology
450 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 566-2020
MS. SHEILA ANN HARRISON OPTICIAN
Technician/Technologist (Optician)
450 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 566-2020
MRS. LISA MARY SWIFT OPTICIAN
Technician/Technologist (Optician)
450 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 562-1233
DR. IVANNA STEPANIVNA GRYNYK OD
Optometrist
450 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 566-2020
MR. MICHAEL PETER JENSEN OPTICIAN
Technician/Technologist (Optician)
450 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 566-2020
DR. ROBERT IRA ADLER M.D.
Specialist
450 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 566-2020
BRADLEY PAUL CATTON O.D.
Optometrist
450 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 566-2020
FREDERICK C. SHAW M.D.
Ophthalmology
450 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 566-2020

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 Michael Lack's NPI number?

The NPI number for Michael Lack is 1538119516. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Michael Lack located?

Michael Lack practices at 450 Margaret St, Plattsburgh, NY 12901. The listed phone number is (518) 566-2020.

What is Michael Lack's specialty?

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

Is Michael Lack enrolled in Medicare?

Yes. Michael Lack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Lack was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.