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LORI BARTHOLOMEW O.D.
NPI 1861580342
Optometrist in Franklin, NJ

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
418 ROUTE 23, FRANKLIN, NJ 07416(973) 827-4120(973) 827-0782 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lori Bartholomew O.d. NPPES

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

LORI BARTHOLOMEW O.D. (NPI 1861580342) is an individual optometrist in Franklin, New Jersey, licensed in New Jersey (27OA00594100) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2004).

NPPES Registry Identity

NPI1861580342
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLORI BARTHOLOMEWCredential: O.D.
Location Address418 ROUTE 23Franklin, NJ 07416-2120
Mailing Address418 Route 23Franklin, NJ 07416-2120 · (973) 827-4120 · Fax (973) 827-0782
Phone(973) 827-4120
Fax(973) 827-0782
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2004
Enumeration DateOctober 10, 2006
Last NPPES UpdateMay 26, 2011
✔ NPI 1861580342 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 NJ · 27OA00594100
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.
418 ROUTE 23, Franklin, NJ 07416
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Other Identifiers 6

Medicare UPINV05835NJ
Other270824079NJ · Qualcare
Other7662614NJ · Aetna
Other22340NJ · Nva
Medicare PIN166708NJ
OtherP3409568NJ · Oxford

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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 Bartholomew O.d. 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 ID547206948
PECOS Enrollment IDI20140905000036
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 11

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
456 services284 patients
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.
349 services331 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.
60 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.
60 services50 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.
46 services46 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).
42 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07416 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.

Other Providers at the Same Location NPPES 2

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

DANIEL KOHANSBY, O.D. PC
Optometrist
418 ROUTE 23
FRANKLIN, NJ 07416
Sussex County (973) 827-4120
VALLEY VISION CARE, P.C.
Optometrist
418 ROUTE 23
FRANKLIN, NJ 07416
Sussex County (973) 827-4120

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 Bartholomew's NPI number?

The NPI number for Lori Bartholomew is 1861580342. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Lori Bartholomew located?

Lori Bartholomew practices at 418 Route 23, Franklin, NJ 07416. The listed phone number is (973) 827-4120.

What is Lori Bartholomew's specialty?

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

Is Lori Bartholomew enrolled in Medicare?

Yes. Lori Bartholomew 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 Bartholomew accept?

Health plans from Providence Health Plan list Lori Bartholomew 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 Bartholomew was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.