Individual provider Active NPI

Lawrence Maxwell Clewner, MD

  • Ophthalmology Physician
  • Boca Raton, FL
National Provider Identifier
1093704694
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME 70597 Issued in FL
Practice address
1701 N Federal Hwy
Boca Raton, FL 33432-1909
Phone
(561) 395-5666
Fax
(561) 368-0883
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 70597 FL Primary

Addresses

Primary practice location

1701 N Federal Hwy
Boca Raton, FL 33432-1909

Mailing address

1701 N Federal Hwy
Boca Raton, FL 33432-1909
Phone (561) 395-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000307 FL Practitioner - Ophthalmology 3072616010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bedotto Wallace Clewner and Kelly, MD, PAGroup PAC ID 0446353478, 3 clinicians

Practice addresses (Care Compare)

1701 N Federal Hwy
Boca Raton, FL 33432-1909
Phone (561) 395-5666

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 70597FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bedotto Wallace Clewner & Kelly, MD, PA Ophthalmology CurrentSince Sep 15, 1999 Accepting new patients
Palm Beach Eye Center Inc Ophthalmology CurrentSince Jan 19, 2020 Accepting new patients
Palm Beach Eye Center Inc Ophthalmology PastSince Jan 19, 2020 Accepting new patients

Locations

1701 N Federal Hwy
Boca Raton, FL 33432
Phone (561) 395-5666

1701 N Federal Hwy
Ste 1
Boca Raton, FL 33432
Phone (561) 433-5200

5162 Linton Blvd
Ste 204
Delray Beach, FL 33484
Phone (407) 496-3100

5057 S Congress Ave
Ste 403
Lake Worth Beach, FL 33461
Phone (561) 433-5200

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lclewner@ckec.intellechartdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1093704694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321909",
            "telephone_number": "561-395-5666",
            "fax_number": "561-368-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N FEDERAL HWY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334321909",
            "telephone_number": "561-395-5666",
            "fax_number": "561-368-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEWNER",
        "first_name": "LAWRENCE",
        "middle_name": "MAXWELL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 70597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.