Active NPI
Elisabeth J Lawson, O.D.
- Optometrist
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002702
- Practice address
- 1525 Market Place Blvd
Cumming, GA 30041-7935 - Phone
- (770) 292-9015
- Fax
- (678) 513-4175
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2310 | SC | |
| Optometrist | 152W00000X | 830 | MS | |
| Optometrist | 152W00000X | 2932 | TN | |
| Optometrist | 152W00000X | OPT002702 | GA | Primary |
Addresses
Primary practice location
1525 Market Place Blvd
Cumming, GA 30041-7935
Mailing address
1400 Market Place Blvd Ste 154
Cumming, GA 30041-7925
Phone (770) 292-9015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
223 Columbia Ave
Suite B
Chapin, SC 29036-8322
Phone (803) 930-0036
5556 Sunset Blvd
Lexington, SC 29072-7989
Phone (803) 265-2744
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002702 | GA | MD | Optometrist |
| 830 | MS | MD | Optometrist |
| 2932 | TN | MD | Occupational Therapy Assistant |
| 2310 | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Eyes LLC | Optometrist | Current | Accepting new patients |
| Collective Eyecare LLC | Optometrist | Current | Accepting new patients |
| Russell D Springer, P.C. | Past | Accepting new patients |
Locations
223 Columbia Ave
#B
Chapin, SC 29036
Phone (803) 930-0036
5556 Sunset Blvd
Lexington, SC 29072
Phone (803) 265-2744
Organizations & group practices 3
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.
-
- Optometrist
- Lexington, SC
- NPI 1689545204
-
- Optometrist
- Chapin, SC
- NPI 1528848405
-
- Medical Specialty Clinic/Center
- Athens, GA
- NPI 1780851170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1033422449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MARKET PLACE BLVD STE 154",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417925",
"telephone_number": "770-292-9015",
"fax_number": "678-513-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 MARKET PLACE BLVD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417935",
"telephone_number": "770-292-9015",
"fax_number": "678-513-4175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "ELISABETH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2021-11-17",
"certification_date": "2020-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "2310",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "830",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2932",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.