Individual provider Active NPI

Lawrence R Stern, OD

  • Optometrist
  • Anthem, AZ
National Provider Identifier
1326045618
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
A805 Issued in AZ
Practice address
3655 W Anthem Way
Ste B149
Anthem, AZ 85086-0430
Phone
(623) 879-3937
Fax
(623) 551-1700
NPI assigned
Jul 1, 2005
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33603 CA
Optometrist 152W00000X A805 AZ Primary
Optometrist 152W00000X FLA2564 FL

Addresses

Primary practice location

3655 W Anthem Way
Ste B149
Anthem, AZ 85086-0430

Mailing address

3655 W Anthem Way Ste B149
Anthem, AZ 85086-0435
Phone (623) 879-3937

Other practice location 1

2390 E Florida Ave Ste 207
Hemet, CA 92544-4755
Phone (951) 652-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 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
I20090206000160 AZ Practitioner - Optometry 9234293226 Reassigns benefits to 1 organization
I20191112000979 CA Practitioner - Optometry 9234293226 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A805AZMDOptometrist
FLA2564FLMDOptometrist
805AZMDPhysical Therapist

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1326045618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 W ANTHEM WAY STE B149",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860435",
            "telephone_number": "623-879-3937",
            "fax_number": "623-551-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 W ANTHEM WAY",
            "address_2": "STE B149",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850860430",
            "telephone_number": "623-879-3937",
            "fax_number": "623-551-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 E Florida Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925444755",
            "country_code": "US",
            "telephone_number": "951-652-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STERN",
        "first_name": "LAWRENCE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33603",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "A805",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "FLA2564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.