Lawrence Adrian Routt Sr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

471 Issued in TN

Practice address

107 S Natchez St
Kosciusko, MS 39090-3741

Phone

(662) 289-4131

Fax

(662) 289-5348

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS2 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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Routt Eye Clinic

  • Optometrist
  • Kosciusko, MS
  • NPI 1942487558

  O20100930046054

  Same enrollment

Specialty

Optometry

Education

Southern College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Routt Eye Clinic

  • Optometrist
  • Kosciusko, MS
  • NPI 1942487558
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1245219245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S NATCHEZ ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903741",
            "telephone_number": "662-289-4131",
            "fax_number": "662-289-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S NATCHEZ ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903741",
            "telephone_number": "662-289-4131",
            "fax_number": "662-289-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTT",
        "first_name": "LAWRENCE",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087888",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breck T Richardson, M.D.
• Allison Roach
• Robin Pee Counseling & Consulting LLC
• Ronnie S. Christian, MD, P. C.
• Routt Eye Clinic
• Jessica Wynne Rush
• Gabrille Lakeshia Sanders
• Tiara N Sanders, NP
• Rebecca Shields, PTA
• Makenzie Simmons, DPT

• Optometrist in Kosciusko, MS
• Providers in Kosciusko, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.