Active NPI 1801882535 Individual Practitioner Female Practitioner

Dr. Mary C Lack , OD

Optometrist • Barberton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mary Lack, OD is a certified Optometrist practicing in Barberton, OH. With approximately 34 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1992, Dr. Lack delivers high-quality medical care to the local community at 31 CONSERVATORY DR.

Dr. Lack is affiliated with Midwest Eye Consultants Ohio, Inc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

31 Conservatory Dr

Barberton, OH 442034281

Telephone 3307454404

Fax 3307539162

Associated Practice Facility / Clinic

🏢 Barberton Eye Center,llc Facility NPI 1609811785

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Barberton, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +3.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

6 Specialists

Practicing in Barberton, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

43.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lack (34 Years) 34 Yrs

Barberton Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	189	189	$200.00	$116.33
99213 Established patient office or other outpatient visit, typically 15 minutes	149	101	$120.00	$83.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	73	$180.00	$118.29
92133 Imaging of optic nerve	61	61	$59.00	$33.72
92083 Exam of visual field with extended testing	48	47	$120.00	$58.22
92250 Photography of the retina	41	41	$140.00	$34.38
92134 Imaging of retina	20	19	$59.00	$37.44
92004 New patient complete exam of visual system	19	19	$240.00	$138.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$270.00	$158.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	186	184	$189.24	$118.83
99213 Established patient office or other outpatient visit, typically 15 minutes	125	96	$116.98	$85.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	63	$174.95	$121.99
92133 Imaging of optic nerve	56	55	$57.75	$34.50
92083 Exam of visual field with extended testing	46	44	$114.22	$58.22
92250 Photography of the retina	31	31	$124.00	$35.10
92134 Imaging of retina	22	20	$58.09	$37.78
92004 New patient complete exam of visual system	20	20	$222.80	$141.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	202	201	$131.00	$120.27
92012 Established patient problem focused exam of visual system	126	93	$91.00	$84.95
99213 Established patient office or other outpatient visit, typically 15 minutes	95	78	$93.00	$87.54
92133 Imaging of optic nerve	66	64	$49.00	$35.08
92083 Exam of visual field with extended testing	63	59	$82.00	$59.17
92134 Imaging of retina	34	33	$49.00	$38.55
92004 New patient complete exam of visual system	29	29	$154.00	$143.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$132.00	$123.27
92250 Photography of the retina	18	18	$78.00	$35.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$57.00	$54.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,274	21	$2.42	$1.17
92014 Established patient complete exam of visual system	208	208	$129.50	$121.47
92012 Established patient problem focused exam of visual system	98	79	$91.00	$86.19
92133 Imaging of optic nerve	64	64	$49.00	$35.75
92083 Exam of visual field with extended testing	60	56	$82.00	$60.26
99213 Established patient office or other outpatient visit, typically 15 minutes	58	45	$88.90	$86.07
92004 New patient complete exam of visual system	46	46	$154.00	$145.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	36	$54.78	$53.12
92134 Imaging of retina	23	23	$49.00	$39.40
92250 Photography of the retina	15	15	$78.00	$37.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$124.86	$121.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,190	11	$2.41	$1.19
92014 Established patient complete exam of visual system	205	205	$125.00	$120.08
99213 Established patient office or other outpatient visit, typically 15 minutes	69	49	$79.00	$72.82
92133 Imaging of optic nerve	69	67	$49.00	$35.93
92083 Exam of visual field with extended testing	57	54	$82.00	$60.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	42	$51.00	$43.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	41	$112.00	$105.93
92004 New patient complete exam of visual system	37	37	$154.00	$145.27
92250 Photography of the retina	24	24	$78.00	$43.17
92012 Established patient problem focused exam of visual system	24	22	$91.00	$85.02
92134 Imaging of retina	15	15	$49.00	$36.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,026	16	$2.51	$1.43
92014 Established patient complete exam of visual system	206	206	$125.00	$120.62
99213 Established patient office or other outpatient visit, typically 15 minutes	70	53	$79.00	$71.39
92133 Imaging of optic nerve	66	64	$49.00	$35.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	43	$51.00	$43.08
92083 Exam of visual field with extended testing	57	53	$82.00	$59.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	45	$112.00	$103.42
92004 New patient complete exam of visual system	41	41	$154.00	$145.02
92012 Established patient problem focused exam of visual system	34	31	$91.00	$84.11
92250 Photography of the retina	28	28	$78.00	$47.93
92134 Imaging of retina	12	11	$49.00	$39.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	3,359	26	$2.51	$1.41
92014 Established patient complete exam of visual system	205	205	$121.69	$118.71
99213 Established patient office or other outpatient visit, typically 15 minutes	71	44	$75.55	$70.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	62	49	$48.10	$41.96
92133 Imaging of optic nerve	61	59	$49.00	$36.07
92012 Established patient problem focused exam of visual system	55	51	$88.60	$83.66
92083 Exam of visual field with extended testing	49	48	$82.00	$60.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	36	$109.42	$101.53
92004 New patient complete exam of visual system	32	32	$150.75	$144.48
92250 Photography of the retina	30	30	$78.00	$53.76
92134 Imaging of retina	16	15	$49.00	$39.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,832	23	$2.43	$1.37
92014 Established patient complete exam of visual system	207	207	$118.00	$116.41
99213 Established patient office or other outpatient visit, typically 15 minutes	82	61	$72.00	$69.90
92012 Established patient problem focused exam of visual system	77	71	$85.00	$81.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	51	$45.00	$41.34
92133 Imaging of optic nerve	68	68	$49.00	$35.23
92083 Exam of visual field with extended testing	46	46	$82.00	$59.87
92004 New patient complete exam of visual system	34	34	$146.00	$142.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$105.00	$103.07
92250 Photography of the retina	18	18	$78.00	$61.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$105.00	$103.59
92275 Recording of retinal electrical responses to external stimuli	12	12	$159.00	$140.49

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4364

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

0892155 (OH)

Commercial Insurance / Payer ID Administar

0266520001 (OH)

Commercial Insurance / Payer ID Qual Choice

54450 (OH)

Commercial Insurance / Payer ID Anthem

000000141886 (OH)

Commercial Insurance / Payer ID United Health Care

2200676 (OH)

Commercial Insurance / Payer ID Railroad Medicare

410041657 (OH)

Commercial Insurance / Payer ID Summa

341904624ML (OH)

Commercial Insurance / Payer ID Tricare

341904624 (OH)

Commercial Insurance / Payer ID Aetna

5521525 (OH)

Hospital & Practice Group Affiliations

Midwest Eye Consultants Ohio, Inc

150 Springside Dr, Akron, OH 443334526

Phone: 3306660707

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Marvin Leedy , MD

Ophthalmology

NPI 1003893124

Doctor of Medicine (M.D.)

Dr. Chris Calaway , OD

Optometrist

NPI 1639165640

Doctor of Optometry

Dr. Phillip Kades , OD

Optometrist

NPI 1649258500

Doctor of Optometry

Dr. Robert Stein , OD

Optometrist

NPI 1710974308

Doctor of Optometry

Dr. Jeffrey Starkey , MD

Ophthalmology

NPI 1780661942

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 08, 2011

Registered at 31 CONSERVATORY DR, BARBERTON, OH 442034281 (Tel: 3307454404)

📍

Updated Business Mailing Address April 08, 2011

Registered at 31 CONSERVATORY DR, BARBERTON, OH 442034281 (Tel: 3307454404)

👤

Provider Name / Credentials Updated April 08, 2011

Recorded as MARY LACK, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2011

Optometrist (License #4364 in OH)

🟢

Initial NPI Registration & Enumeration September 27, 2005

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: 1801882535

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 27, 2005

Last Update: April 08, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

31 Conservatory Dr

Barberton, OH 442034281

Phone: 3307454404

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.