Kenneth E Lawrence

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001980B Issued in IN

Practice address

216 E Market St
Logansport, IN 46947-3430

Phone

(574) 753-2559

Fax

(574) 722-4926

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1285627208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469470269",
            "telephone_number": "574-753-2559",
            "fax_number": "574-722-4926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E MARKET ST",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469473430",
            "telephone_number": "574-753-2559",
            "fax_number": "574-722-4926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "KENNETH",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001980B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000085953",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100070790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kailyn Marie Langley
• Rayna Joann Larrowe, RN
• Shawn G Larson, MD
• Jody R Lashbrook, LCSW
• Catherine Ann Lawhorne, MA, LMHC
• Kourtni Jade Lawton
• Jocelyn Laycock
• Kristen Layton, RBT
• Doris Elizabeth Leblanc, M.D.
• Cynthia Sue Lees, BS

• Optometrist in Logansport, IN
• Providers in Logansport, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.