Individual provider Active NPI

Keyarah Denise Lawrence-Brown I

  • Contact Lens Technician/Technologist
  • Detroit, MI
National Provider Identifier
1235697228
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens Technician/TechnologistTaxonomy code 156FC0800X
License
L652465138552
Practice address
16854 Edmore Dr
Detroit, MI 48205-1516
Phone
(313) 316-8256
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/Technologist 156FC0800X L652465138552 Primary

Addresses

Primary practice location

16854 Edmore Dr
Detroit, MI 48205-1516

Mailing address

16854 Edmore Dr
Detroit, MI 48205-1516
Phone (313) 316-8256

Other identifiers 1

IdentifierTypeStateIssuer
L652465139552OtherMINONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1235697228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16854 EDMORE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051516",
            "telephone_number": "313-316-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16854 EDMORE DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482051516",
            "telephone_number": "313-316-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE-BROWN",
        "first_name": "KEYARAH",
        "middle_name": "DENISE",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": "L652465138552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "L652465139552",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.