Individual provider Active NPI

Kevin Wayne Lafone, O.D.

  • Optometrist
  • Cornelius, NC
National Provider Identifier
1245289149
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1865 Issued in NC
Practice address
19607 W Catawba Ave
Cornelius, NC 28031-4002
Phone
(704) 892-3542
Fax
(704) 896-8528
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1865 NC Primary

Addresses

Primary practice location

19607 W Catawba Ave
Cornelius, NC 28031-4002

Mailing address

19607 W Catawba Ave
Cornelius, NC 28031-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050317000465 NC Practitioner - Optometry 0042265894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19607 W Catawba Ave
Suite 101
Cornelius, NC 28031-4042
Phone (704) 892-3542

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1865NCMDChiropractor
NC1865NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Eye Care OD PA Optometrist CurrentSince Aug 1, 2004 Accepting new patients
Newton Optometric Center P C Optometrist Past Accepting new patients
Maiden Optometric Eye Care Center, PLLC Optometrist Past Accepting new patients
Newton Optometric Center, PLLC Optometrist PastSince Oct 1, 2003 Accepting new patients

Locations

19600 W Catawba Ave
Ste A202
Cornelius, NC 28031

19607 W Catawba Ave
Ste 101
Cornelius, NC 28031
Phone (704) 892-3542

19600 W Catawba Ave
Cornelius, NC 28031
Phone (704) 892-3542

19607 W Catawba Ave
Cornelius, NC 28031
Phone (704) 892-3542

Organizations & group practices 4

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1245289149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19607 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19607 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314002",
            "telephone_number": "704-892-3542",
            "fax_number": "704-896-8528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFONE",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.