Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538119516 Individual Practitioner Male Practitioner

Dr. Michael David Lack , OD

Optometrist • Plattsburgh, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Lack, OD is a registered healthcare professional specializing in Optometrist in Plattsburgh, NY. Practice services are available at 450 MARGARET ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

450 Margaret St

Plattsburgh, NY 129011755

Telephone 5185662020
Fax 5185615390
Associated Practice Facility / Clinic
🏢 Plattsburgh Asc Llc Facility NPI 1891784955

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Plattsburgh, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
18 Specialists

Practicing in Plattsburgh, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
18.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
12 12 $150.00 $122.14

Medical Specialties & State Licenses

CMS Verified: 2020-06-30
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY TUV003563-1

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00568070 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
NPI 1003058652

Doctor of Medicine (M.D.)

Sheila Harrison , OPTICIAN

Technician/Technologist - Optician

NPI 1073636502
Lisa Swift , OPTICIAN

Technician/Technologist - Optician

NPI 1083737571
NPI 1194391243

Doctor of Optometry

Michael Jensen , OPTICIAN

Technician/Technologist - Optician

NPI 1285757591
NPI 1336235589

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location June 30, 2020

Registered at 450 MARGARET ST, PLATTSBURGH, NY 129011755 (Tel: 5185662020)

📍
Updated Business Mailing Address June 30, 2020

Registered at 450 MARGARET ST, PLATTSBURGH, NY 129011755 (Tel: 5185662020)

NPI Profile Active October 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2011

Registered at 292 CORNELIA ST BLDG 2, PLATTSBURGH, NY 129012303 (Tel: 5185637400)

📍
Updated Business Mailing Address October 25, 2011

Registered at 292 CORNELIA ST BLDG 2, PLATTSBURGH, NY 129012303 (Tel: 5185637400)

👤
Provider Name / Credentials Updated October 25, 2011

Recorded as MICHAEL LACK, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2011

Optometrist (License #TUV003563-1 in NY)

🟢
Initial NPI Registration & Enumeration May 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538119516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: June 30, 2020
Sole Proprietor: Yes

Mailing Address

450 Margaret St

Plattsburgh, NY 129011755

Phone: 5185662020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.