Laura Marie Richardson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005050 Issued in MI

Practice address

117 S Main St
Ann Arbor, MI 48104-1902

Phone

(734) 665-5306

Fax

(734) 665-5522

NPI assigned

Jul 14, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Laura Marie Burger Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bennett Optometry LLC 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lauraburger@direct.eyecare-partners.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bennett Optometry LLC

  • Optometrist
  • Ann Arbor, MI
  • NPI 1992792154

  MI

  Medicare reassignment Care Compare group
• Bennett Optometry LLC

  • Optometrist
  • East Lansing, MI
  • NPI 1255920278
  Care Compare group
• Bennett Optometry LLC

  • Optometrist
  • Saline, MI
  • NPI 1194336446
  NPD
• W. Optical 2 LLC

  • Optician
  • Grand Rapids, MI
  • NPI 1689110710
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1023530680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208177",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208177",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MAIN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041902",
            "telephone_number": "734-665-5306",
            "fax_number": "734-665-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Saline",
            "state": "MI",
            "postal_code": "481761588",
            "country_code": "US",
            "telephone_number": "734-429-4885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1928 W Stadium Blvd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481034504",
            "country_code": "US",
            "telephone_number": "734-994-9119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2623 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481052468",
            "country_code": "US",
            "telephone_number": "734-930-2373",
            "fax_number": "734-930-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3579 Alpine Ave NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "49544",
            "country_code": "US",
            "telephone_number": "616-432-3591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 W Chicago Blvd",
            "address_purpose": "LOCATION",
            "city": "Tecumseh",
            "state": "MI",
            "postal_code": "492861553",
            "country_code": "US",
            "telephone_number": "517-423-2148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BURGER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gary S. Richardson, M.D.
• James K Richardson, MD
• Jennifer Renee Richardson, BSN, RN
• Jessica Richardson, CRNP
• Katrina Denise Richardson, NP
• Rebecca Leigh Richardson, MD
• Lauren Vera Richey, MD
• Jennifer Richichi, CEP
• Amber Richmond
• Jessica L Richmond, M.A.

• All providers in Ann Arbor, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.