Individual provider Active NPI

Elisabeth J Lawson, O.D.

  • Optometrist
  • Cumming, GA
National Provider Identifier
1033422449
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002702 Issued in GA
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

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415003943 SC Practitioner - Optometry 5395933741 Reassigns benefits to 2 organizations

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
Vital Eyes LLCGroup PAC ID 8729427398, 3 clinicians
Collective Eyecare LLCGroup PAC ID 3375034192, 2 clinicians

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

LicenseStateTypeSpecialty
OPT002702GAMDOptometrist
830MSMDOptometrist
2932TNMDOccupational Therapy Assistant
2310SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Eyes LLC Optometrist CurrentSince Feb 26, 2024 Accepting new patients
Collective Eyecare LLC Optometrist CurrentSince Sep 22, 2025 Accepting new patients
Russell D Springer, P.C. PastSince Sep 26, 2012 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.

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

Verify at the official NPI Registry.