Active NPI
Lawrence David Lassa, O.D.
- Optometrist
- Odessa, TX
National Provider Identifier
1295920973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3653TG
- Practice address
- 420 N Grant Ave
Odessa, TX 79761-5156 - Phone
- (432) 332-9920
- Fax
- (432) 337-8833
- NPI assigned
- Sep 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 3653TG | TX | Primary |
Addresses
Primary practice location
420 N Grant Ave
Odessa, TX 79761-5156
Mailing address
420 N Grant Ave
Odessa, TX 79761-5156
Phone (432) 332-9920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3653TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanley E. Lassa, O.D., Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Odessa, TX
- NPI 1184731143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1295920973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N GRANT AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615156",
"telephone_number": "432-332-9920",
"fax_number": "432-337-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N GRANT AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797615156",
"telephone_number": "432-332-9920",
"fax_number": "432-337-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASSA",
"first_name": "LAWRENCE",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3653TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.