NPIMap

Organization Active NPI

Lawrence Wang OD Inc

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1073783940
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NV0392 Issued in NV
Legal business name
LAWRENCE WANG OD INC
Doing business as
Dr. Lawrence Wang
Practice address
7090 N Durango Dr
Ste 110
Las Vegas, NV 89149-4494
Phone
(702) 220-3937
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Dr. Lawrence Wang, O.D.NPI 1548326168
Title
Optometrist
Phone
(702) 336-3493

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X NV0392 NV Primary

Addresses

Primary practice location

7090 N Durango Dr
Ste 110
Las Vegas, NV 89149-4494

Mailing address

PO Box 33849
Las Vegas, NV 89133-3849
Phone (702) 336-3493

Other names 1

  • Dr. Lawrence Wang Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050616000103 NV Part B Supplier - Clinic/Group Practice 9133163587 Receives reassigned benefits from 3 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Dr Lawrence Wang2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3625 S Rainbow Blvd
Las Vegas, NV 89103
Phone (702) 367-9999

Practitioners & affiliated clinicians

Practitioners 3

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": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1073783940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33849",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333849",
            "telephone_number": "702-336-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 N DURANGO DR",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494494",
            "telephone_number": "702-220-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE WANG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "702-336-3493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV0392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Lawrence Wang",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.