Active NPI
Lavon Hinshaw Drake
- Ocularist
- Wilmington, NC
National Provider Identifier
1306044631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- Practice address
- 4557 Technology Dr Ste 5
Wilmington, NC 28405-2145 - Phone
- (252) 946-7618
- Fax
- (252) 946-7618
- NPI assigned
- Jul 9, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | |||
| Ocularist | 156FX1700X | Primary | ||
| Medical Laboratory Technician | 246RM2200X |
Addresses
Primary practice location
4557 Technology Dr Ste 5
Wilmington, NC 28405-2145
Mailing address
6626 US Highway 264 E
Washington, NC 27889-7606
Phone (252) 946-3317
Other names 1
- Miss Audrey Lavon Hinshaw
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocular Prosthetics Inc | Ocularist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1306044631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 US HIGHWAY 264 E",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278897606",
"telephone_number": "252-946-3317",
"fax_number": "252-946-7618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4557 TECHNOLOGY DR STE 5",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284052145",
"telephone_number": "252-946-7618",
"fax_number": "252-946-7618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "LAVON",
"middle_name": "HINSHAW",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": null,
"license": null,
"primary": true
},
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUDREY",
"last_name": "HINSHAW",
"middle_name": "LAVON",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.