Individual provider Active NPI

Lawrence Glenn Simons, O.D.

  • Vision Therapy Optometrist
  • Los Angeles, CA
National Provider Identifier
1225165541
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
7352T Issued in CA
Practice address
2035 Westwood Blvd
# 101
Los Angeles, CA 90025-6332
Phone
(310) 234-0202
Fax
(310) 474-3423
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 7352T CA Primary

Addresses

Primary practice location

2035 Westwood Blvd
# 101
Los Angeles, CA 90025-6332

Mailing address

2035 Westwood Blvd
# 101
Los Angeles, CA 90025-6332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040323001948 CA Practitioner - Optometry 7315838208 Practice locations: Calabasas, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4505 Las Virgenes Rd
Calabasas, CA 91302-1956
Phone (818) 871-9898

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7352TCAMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence G. Simons Vision Therapy PastSince Dec 27, 2010 Accepting new patients

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225165541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 WESTWOOD BLVD",
            "address_2": "# 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 WESTWOOD BLVD",
            "address_2": "# 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256332",
            "telephone_number": "310-234-0202",
            "fax_number": "310-474-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "LAWRENCE",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "7352T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.