Michael David Lack, O.D.
NPI 1538119516ActiveIndividual· Optometrist· Plattsburgh, NY
Optometrist (O.D.) in Plattsburgh, New York, licensed in NY, with an NPI issued in May 2006. Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1538119516 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | Yes |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Jun 30, 2020 |
| Certified by provider | Jun 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | TUV003563-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (NY) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Optometrist providers in Plattsburgh
- 1770853715
- 1437108529
- 1043268733
- 1083782866
- 1831246958
- 1053728675
- 1386690154
- 1245758150
- 1891913083
- 1194391243
- 1568451904
- 1891758207