Organization Active NPI

Lawrence Wang OD Inc

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1033308440
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NV0392 Issued in NV
Legal business name
LAWRENCE WANG OD INC
Practice address
3615 S Rainbow Blvd
Ste 110
Las Vegas, NV 89103-1057
Phone
(702) 515-7240
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Lawrence Wang, ODNPI 1548326168
Title
Ceo
Phone
(702) 515-7240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NV0392 NV Primary

Addresses

Primary practice location

3615 S Rainbow Blvd
Ste 110
Las Vegas, NV 89103-1057

Mailing address

PO Box 33849
Las Vegas, NV 89133-3849
Phone (702) 515-7240

National Provider Directory

National Provider Directory
Tax ID family
Dr Lawrence Wang2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3615 S Rainbow Blvd
Ste 110
Las Vegas, NV 89103
Phone (702) 515-7240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1033308440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33849",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333849",
            "telephone_number": "702-515-7240",
            "fax_number": "702-222-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S RAINBOW BLVD",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891031057",
            "telephone_number": "702-515-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE WANG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-515-7240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV0392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.