Individual provider Active NPI

Vicki Lauer, O.D.

  • Optometrist
  • Parkersburg, WV
National Provider Identifier
1245213743
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
968-OD Issued in WV
Practice address
2014 Dudley Ave
Parkersburg, WV 26101-3405
Phone
(304) 422-1841
Fax
(304) 865-0592
NPI assigned
Nov 29, 2005
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 968-OD WV Primary

Addresses

Primary practice location

2014 Dudley Ave
Parkersburg, WV 26101-3405

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970

Other identifiers 1

IdentifierTypeStateIssuer
6300073000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050413001334 WV Practitioner - Optometry 7618924903 Reassigns benefits to 1 organization
I20240413000345 FL Practitioner - Optometry 7618924903 Reassigns benefits to 2 organizations
I20250213002410 GA Practitioner - Optometry 7618924903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians
Russell Stackhouse MD PAGroup PAC ID 9133473325, 13 clinicians

Practice addresses (Care Compare)

11100 SW 93Rd Court Rd
Suite 15
Ocala, FL 34481-5188
Phone (352) 291-2000

1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005

2014 Dudley Ave
Parkersburg, WV 26101-3405
Phone (304) 422-1841

6 S 14TH St
Fernandina, FL 32034-3212
Phone 9042615741134

840 N Stone St
Deland, FL 32720-3256
Phone (386) 734-1766

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
968WVMDClinical Psychologist
968-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of West Virginia, PLLC Optometrist CurrentSince Feb 13, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Jan 28, 2025 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Mar 4, 2024 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Jan 28, 2025 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Russell Stackhouse MD PA CurrentSince Mar 1, 2025 Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist CurrentSince Feb 13, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Mar 4, 2024 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients
Myeyedr Optometry of West Virginia, PLLC Optometrist Past Accepting new patients

Locations (25 of 29)

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

840 N Stone St
Deland, FL 32720
Phone (386) 734-1766

6 S 14th St
Fernandina Beach, FL 32034
Phone (904) 261-5741

7077 Normandy Blvd
Ste 7
Jacksonville, FL 32205
Phone (904) 781-7717

9560 Crosshill Blvd
Ste 106
Jacksonville, FL 32222
Phone (904) 777-2927

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 893-4005

2610 Dawson Rd
Albany, GA 31707
Phone (229) 439-4687

3440 Wrightsboro Rd
Augusta, GA 30909
Phone (706) 733-0020

207 Chestnut St
Bremen, GA 30110
Phone (770) 537-5246

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

806 Dixie St
Carrollton, GA 30117
Phone (770) 834-2071

911 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 695-4676

4521 17th Ave
Columbus, GA 31904
Phone (706) 660-0191

2032 Veterans Blvd
Ste A
Dublin, GA 31021
Phone (478) 272-3445

3801 Northside Dr
Macon, GA 31210
Phone (478) 475-1600

503 Furys Ferry Rd
Martinez, GA 30907
Phone (706) 860-8899

1601 Macon Rd
Perry, GA 31069
Phone (478) 218-0404

1014 Northside Dr E
Statesboro, GA 30458
Phone (912) 764-9147

15196 US Highway 19 S
Thomasville, GA 31757
Phone (229) 228-4770

198 S Houston Lake Rd
Ste B
Warner Robins, GA 31088
Phone (478) 971-1500

2209 Memorial Dr
Waycross, GA 31501
Phone (912) 285-2021

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

838 Somerset Blvd
Charles Town, WV 25414
Phone (304) 725-4828

Organizations & group practices 12

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1245213743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 DUDLEY AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013405",
            "telephone_number": "304-422-1841",
            "fax_number": "304-865-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUER",
        "first_name": "VICKI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "968-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6300073000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

Verify at the official NPI Registry.