Organization Active NPI

Lawrence Kessler and Assoc.,LTD.

  • Optometrist
  • Champaign, IL
National Provider Identifier
1285727214
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-6931 Issued in IL
Legal business name
LAWRENCE KESSLER AND ASSOC.,LTD.
Practice address
44 E. Main Street
Suite 100
Champaign, IL 61820-3636
Phone
(217) 356-5377
Fax
(217) 356-5379
NPI assigned
Oct 2, 2006
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Lawrence Howard Kessler, O.D.NPI 1194827642
Title
President
Phone
(217) 377-2360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-6931 IL Primary

Addresses

Primary practice location

44 E. Main Street
Suite 100
Champaign, IL 61820-3636

Mailing address

1514 W Charles St
Champaign, IL 61821-4427
Phone (217) 377-2360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080324000568 IL Part B Supplier - Clinic/Group Practice 3072699693 Receives reassigned benefits from 1 practitioner
Practice locations: Champaign, IL

National Provider Directory

National Provider Directory

Locations

2610 N Prospect Ave
Champaign, IL 61822
Phone (217) 352-1490

44 E Main St
Ste 100
Champaign, IL 61820
Phone (217) 356-5377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1285727214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 W CHARLES ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618214427",
            "telephone_number": "217-377-2360",
            "fax_number": "217-398-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E. MAIN STREET",
            "address_2": "SUITE 100",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203636",
            "telephone_number": "217-356-5377",
            "fax_number": "217-356-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE KESSLER AND ASSOC.,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "KESSLER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-377-2360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-6931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.