Lawrence M Irene, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

811 Issued in AZ

Practice address

5000 S Arizona Mills Cir Ste 165
Tempe, AZ 85282-6417

Phone

(480) 820-3813

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Simon Zmyslinski & Associates, P.L.L.C.

  • Optometrist
  • Phoenix, AZ
  • NPI 1710213434
  Medicare reassignment NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174644710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S ARIZONA MILLS CIR STE 165",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826417",
            "telephone_number": "480-820-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S ARIZONA MILLS CIR STE 165",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826417",
            "telephone_number": "480-820-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRENE",
        "first_name": "LAWRENCE",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intentional Life Counseling
• International Life Flight, Inc.
• Invitro Genetics Arizona
• Invoquest Inc
• Jelina Ip, ND
• Chrystal Irigoyen, COTA
• Ironwood Medical Transportation LLC
• Scott Michael Isaac, MD
• Brooke Iseler, PT
• Margaret Joyce Iseler, LCSW

• Optometrist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.