Lazarus Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LAZARUS EYE CARE, LLC

Practice address

5311 Caroline Dr
High Ridge, MO 63049-2481

Phone

(314) 640-0843

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Ryan Lazarus, ODNPI 1629566070

Title

Optometrist

Phone

(636) 489-0133

Specialties & licenses 1

Addresses

Other names 1

• Lazarus Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew R Lazarus, OD

  • Optometrist
  • High Ridge, MO
  • NPI 1629566070

  MO, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1235918673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5311 CAROLINE DR",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492481",
            "telephone_number": "636-489-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 CAROLINE DR",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630492481",
            "telephone_number": "314-640-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZARUS EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "636-489-0133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lazarus Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Kelley, LMSW
• Christian Klamert
• Peggy A Koenen, RPH
• Brandy Marette Komos
• Jeffrey Laponsie
• Matthew R Lazarus, OD
• Emily Lenth
• Brian Charles Longo
• Cynthia Loveless
• Morgan Rae Mansur, MOT

• Optometrist in High Ridge, MO
• Providers in High Ridge, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.