Organization Active NPI

Lawrence J Waite

  • Optometrist
  • Elmira, NY
National Provider Identifier
1336323195
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV4209 Issued in NY
Legal business name
LAWRENCE J WAITE
Practice address
382 W Church St
Elmira, NY 14901-2621
Phone
(607) 733-2694
Fax
(607) 733-1139
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Dr. Lawrence John Waite, OD
Title
Owner
Phone
(607) 733-2694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV4209 NY Primary

Addresses

Primary practice location

382 W Church St
Elmira, NY 14901-2621

Mailing address

382 W Church St
Elmira, NY 14901-2621
Phone (607) 733-2694

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1336323195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012621",
            "telephone_number": "607-733-2694",
            "fax_number": "607-733-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012621",
            "telephone_number": "607-733-2694",
            "fax_number": "607-733-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE J WAITE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-733-2694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV4209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.