Stanley E. Lassa, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

03653TG Issued in TX

Legal business name

STANLEY E. LASSA, O.D., INC.

Practice address

420 B. North Grant Ave.
Odessa, TX 79761-9999

Phone

(432) 332-9920

Fax

(432) 337-8833

NPI assigned

Aug 24, 2006

Last updated

Sep 25, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence D. Lassa, DR.OF OPTOMETRYNPI 1295920973

Title

President

Phone

(432) 332-9920

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lawrence David Lassa, O.D.

  • Optometrist
  • Odessa, TX
  • NPI 1295920973
  NPD (past) Authorized official

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1184731143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 B. NORTH GRANT AVE.",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797619999",
            "telephone_number": "432-332-9920",
            "fax_number": "432-337-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 B. NORTH GRANT AVE.",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797619999",
            "telephone_number": "432-332-9920",
            "fax_number": "432-337-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY E. LASSA, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "LASSA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-332-9920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR.OF OPTOMETRY"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03653TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019469801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Odessa, TX
• Providers in Odessa, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.