Active NPI
Latasha Lawrence, O.D.
- Optometrist
- Exton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG004328
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OEG004328 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendly Eyes Vision PLLC | Current | Accepting new patients | |
| Optyx LLC | Optometrist | Current | Accepting new patients |
| Optyx LLC | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | 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.
-
- Ophthalmology Physician
- Exton, PA
- NPI 1356148126
-
- Eyewear Supplier
- Exton, PA
- NPI 1568524965
-
- Eyewear Supplier
- New York, NY
- NPI 1649459363
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.