Individual provider Active NPI

Cynthia Jean Lawrence, OD

  • Optometrist
  • Lebanon, NH
National Provider Identifier
1205897139
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0629 Issued in NH
Practice address
1 Medical Center Dr
DHMC Dept of Ophthalmology
Lebanon, NH 03756-1000
Phone
(603) 650-2651
Fax
(603) 650-2659
NPI assigned
Mar 30, 2006
Last updated
Jul 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0629 NH Primary

Addresses

Primary practice location

1 Medical Center Dr
DHMC Dept of Ophthalmology
Lebanon, NH 03756-1000

Mailing address

1 Medical Center Dr
DHMC Dept of Ophthalmology
Lebanon, NH 03756-1000
Phone (603) 650-2651

Other identifiers 2

IdentifierTypeStateIssuer
1018115MedicaidVT
80002385MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20101103000004 NH Practitioner - Optometry 1355317827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolfeboro Eye Associates IncGroup PAC ID 8729116975, 3 clinicians

Practice addresses (Care Compare)

36 Ctr St
Unit 5
Wolfeboro Falls, NH 03896-1196
Phone (603) 569-8500

Merit-based Incentive Payment System (MIPS)

Final score
98.5 of 100Reported as group
Quality
100
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfeboro Eye Associates Inc Optometrist CurrentSince Jun 27, 2022 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 Accepting new patients

Locations

36 Center St
Ste 5
Wolfeboro, NH 03894

36 Center St
Unit 5
Wolfeboro, NH 03894
Phone (603) 569-8500

Interoperability endpoints

  • Direct secure messaging: cl@wolfeboroeyeassociates.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1205897139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC DEPT OF OPHTHALMOLOGY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-2651",
            "fax_number": "603-650-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC DEPT OF OPHTHALMOLOGY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-2651",
            "fax_number": "603-650-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "CYNTHIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018115",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002385",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.