Organization Active NPI

Dr. Marion S. Lewis & Associates

  • Optometrist
  • Lakeland, FL
National Provider Identifier
1053458539
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1235 Issued in FL
Legal business name
DR. MARION S. LEWIS & ASSOCIATES
Practice address
5535 Kings Mont Dr
Lakeland, FL 33813-3280
Phone
(863) 648-4770
Fax
(888) 873-4425
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Authorized official

Name
Dr. Marion Stewart Lewis, O.D.
Title
Owner
Phone
(863) 648-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1235 FL Primary

Addresses

Primary practice location

5535 Kings Mont Dr
Lakeland, FL 33813-3280

Mailing address

5535 Kings Mont Dr
Lakeland, FL 33813-3280
Phone (863) 648-4770

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL drmslewis.com
Other URL drmslewis.com

National Provider Directory

National Provider Directory

Locations

8001 S Orange Blossom Trl
Ste 642
Orlando, FL 32809
Phone (407) 240-5599

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": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1053458539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 KINGS MONT DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133280",
            "telephone_number": "863-648-4770",
            "fax_number": "888-873-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 KINGS MONT DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133280",
            "telephone_number": "863-648-4770",
            "fax_number": "888-873-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARION S. LEWIS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-648-4770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drmslewis.com",
            "affiliation": "N",
            "address_1": "5535 Kings Mont Dr",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338133280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drmslewis.com",
            "affiliation": "N",
            "address_1": "5535 Kings Mont Dr",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338133280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.