Individual provider Active NPI

Lauren Nicole Bynorth, OD

  • Optometrist
  • Lawrence, KS
National Provider Identifier
1053176586
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2212 Issued in KS
Practice address
831 Vermont St
Lawrence, KS 66044-2665
Phone
(785) 843-5655
Fax
(785) 841-3153
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2212 KS Primary

Addresses

Primary practice location

831 Vermont St
Lawrence, KS 66044-2665

Mailing address

831 Vermont St
Lawrence, KS 66044-2665
Phone (785) 843-5665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240412003852 KS Practitioner - Optometry 0446699292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kent E Dobbins OD and Jacob W Letourneau OD PAGroup PAC ID 5496706988, 3 clinicians

Practice addresses (Care Compare)

831 Vermont St
Lawrence, KS 66044-2665
Phone (785) 843-5665

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2212KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kent E. Dobbins O.D. & Jacob W. Letourneau O.D., P.a. Optometrist CurrentSince Mar 10, 2024 Accepting new patients

Locations

831 Vermont St
Lawrence, KS 66044
Phone (785) 843-5665

831 Vermont St
Ste A
Lawrence, KS 66044

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1053176586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 VERMONT ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442665",
            "telephone_number": "785-843-5665",
            "fax_number": "785-843-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 VERMONT ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442665",
            "telephone_number": "785-843-5655",
            "fax_number": "785-841-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNORTH",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.