Lawrence N Kline, OD
Individual provider Active NPI Optometrist · Prospect, CT
NPI 1245444546 · NPPES record last updated Sep 18, 2015
Key facts
- NPI
- 1245444546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 688 (CT)
- Practice address
- 60 Waterbury Rd
Prospect, CT 06712-1250 - Phone
- (203) 758-5555
- Fax
- (203) 758-6666
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vision Associates of Prospect PLLC
Practice addresses (Care Compare)
60 Waterbury Rd
Prospect, CT 06712-1250
Phone (230) 758-5555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101223000243 | CT | Practitioner - Optometry | 8921123977 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 688 | CT | Yes |
Addresses
Primary practice location
60 Waterbury Rd
Prospect, CT 06712-1250
Mailing address
60 Waterbury Rd
Prospect, CT 06712-1250
Phone (203) 758-5555
Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.