Active NPI
William Bruce Laurie Jr., O.D.
- Corneal and Contact Management Optometrist
- Horseheads, NY
National Provider Identifier
1073585352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- TUV-008818
- Practice address
- 1400 County Route 64
Horseheads, NY 14845-2297 - Phone
- (607) 739-5209
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 2051 | CO | |
| Corneal and Contact Management Optometrist | 152WC0802X | TUV-008818 | NY | Primary |
Addresses
Primary practice location
1400 County Route 64
Horseheads, NY 14845-2297
Mailing address
214 Prospect Hill Rd
Horseheads, NY 14845-7979
Phone (303) 919-0914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TUV-008818 | Other | NY | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV-008818 | NY | MD | Corneal and Contact Management Optometrist |
| 2051 | CO | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Eye Physicians PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Aurora, CO
- NPI 1720044746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1073585352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 PROSPECT HILL RD",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148457979",
"telephone_number": "303-919-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 COUNTY ROUTE 64",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148452297",
"telephone_number": "607-739-5209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURIE",
"first_name": "WILLIAM",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CO",
"license": "2051",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NY",
"license": "TUV-008818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "TUV-008818",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Horseheads, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.