Connie Lawrence-Willis OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3016 Issued in FL

Legal business name

CONNIE LAWRENCE-WILLIS OD PA

Practice address

2001 US Highway 1
Sebastian, FL 32958-1615

Phone

(772) 589-7337

Fax

(772) 589-9238

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Connie Lawrence-Willis, O.D.

Title

President/Owner

Phone

(772) 589-7337

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1073709283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SUNSET DR",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329583508",
            "telephone_number": "772-589-7337",
            "fax_number": "772-589-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 US HIGHWAY 1",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329581615",
            "telephone_number": "772-589-7337",
            "fax_number": "772-589-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE LAWRENCE-WILLIS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE-WILLIS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "772-589-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.