Individual provider Active NPI

Pei-Wen Lawing, O.D.

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1164855029
Registry record updated Nov 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4801 Issued in FL
Practice address
4668 Town Crossing Dr
#143
Jacksonville, FL 32246-7421
Phone
(904) 641-1684
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002622 PA
Optometrist 152W00000X OPC4801 FL Primary

Addresses

Primary practice location

4668 Town Crossing Dr
#143
Jacksonville, FL 32246-7421

Mailing address

14359 Cherry Lake Dr W
Jacksonville, FL 32258-5185
Phone (904) 309-4833

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140225001954 FL Practitioner - Optometry 4284864919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

190 Marketside Ave
Suite B
Ponte Vedra Beach, FL 32081-1045
Phone (904) 249-3937

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4801FLMDOptometrist
OEG002622PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mack Eye Care PA Optometrist CurrentSince Jan 21, 2014 Accepting new patients
North Florida Surgeons, PA CurrentSince Aug 12, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince Aug 12, 2024 Accepting new patients

Locations

13453 N Main St
Ste 306
Jacksonville, FL 32218
Phone (904) 564-2020

11512 Lake Mead Ave
Unit 534
Jacksonville, FL 32256
Phone (904) 564-2020

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

4668 Town Crossing Dr
Ste 143
Jacksonville, FL 32246
Phone (513) 765-6000

88 Blanding Blvd
Ste 1
Orange Park, FL 32073

88 Blanding Blvd
Orange Park, FL 32073
Phone (904) 272-9429

190 Marketside Ave
Ste B
Ponte Vedra Beach, FL 32081
Phone (904) 249-3937

Interoperability endpoints

  • Direct secure messaging: pei-wen.lawing.1@9109.direct.athenahealth.com

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": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1164855029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14359 CHERRY LAKE DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585185",
            "telephone_number": "904-309-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4668 TOWN CROSSING DR",
            "address_2": "#143",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322467421",
            "telephone_number": "904-641-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWING",
        "first_name": "PEI-WEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002622",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.