Individual provider Active NPI

Kirsten Lawson, OD

  • Optometrist
  • Wexford, PA
National Provider Identifier
1174045900
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003300 Issued in PA
Practice address
6600 Brooktree Rd Ste 2800
Wexford, PA 15090-6706
Phone
(724) 719-2712
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003300 PA Primary

Addresses

Primary practice location

6600 Brooktree Rd Ste 2800
Wexford, PA 15090-6706

Mailing address

6600 Brooktree Rd
Ste 2800
Wexford, PA 15090-6706
Phone (724) 584-4011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170818002191 PA Practitioner - Optometry 5395017750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Massucci Vision Plus LLCGroup PAC ID 9436380987, 3 clinicians

Practice addresses (Care Compare)

6600 Brooktree Rd
Suite 2800
Wexford, PA 15090-6706
Phone (724) 719-2712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Massucci Vision Plus LLC Optometrist CurrentSince Jul 24, 2017 Accepting new patients

Locations

6600 Brooktree Rd
Ste 2800
Wexford, PA 15090
Phone (724) 719-2712

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.

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1174045900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 BROOKTREE RD",
            "address_2": "STE 2800",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906706",
            "telephone_number": "724-584-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 BROOKTREE RD STE 2800",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906706",
            "telephone_number": "724-719-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "KIRSTEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.