Individual provider Active NPI

Latasha Lawrence, O.D.

  • Optometrist
  • Exton, PA
National Provider Identifier
1295080596
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004328 Issued in PA
Practice address
289 Main St # L-2
Exton, PA 19341-3701
Phone
(484) 875-9790
Fax
(610) 884-4208
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004328 PA Primary

Addresses

Primary practice location

289 Main St # L-2
Exton, PA 19341-3701

Mailing address

536 SW 24TH Ave
Fort Lauderdale, FL 33312-2254
Phone (954) 647-5475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20240206003630 NY Practitioner - Optometry 0941427371 Reassigns benefits to 1 organization
I20260129002940 PA Practitioner - Optometry 0941427371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optyx LLCGroup PAC ID 6406207737, 10 clinicians

Practice addresses (Care Compare)

2384 Broadway
New York, NY 10024-1703
Phone (212) 724-0850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004328PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Eyes Vision PLLC CurrentSince Jan 5, 2026 Accepting new patients
Optyx LLC Optometrist CurrentSince Feb 20, 2025 Accepting new patients
Optyx LLC Past Accepting new patients
Luxottica of America Inc. PastSince Apr 28, 2026 Accepting new patients

Locations

312 Springfield Ave
Berkeley Hts, NJ 07922
Phone (908) 336-5661

10095 Main Rd
Mattituck, NY 11952
Phone (631) 213-4499

1036 3rd Ave
New York, NY 10065
Phone (212) 751-6177

2384 Broadway
New York, NY 10024
Phone (212) 724-0850

1125 Lexington Ave
New York, NY 10075
Phone (212) 628-2493

289 Main St
#L2
Exton, PA 19341
Phone (484) 875-9790

289 Main St
Spc L2
Exton, PA 19341
Phone (484) 875-9790

Organizations & group practices 5

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1295080596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 SW 24TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333122254",
            "telephone_number": "954-647-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MAIN ST # L-2",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193413701",
            "telephone_number": "484-875-9790",
            "fax_number": "610-884-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "LATASHA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.