Individual provider Active NPI

Peter Dunsmore Lawrence, OD

  • Optometrist
  • Gaylord, MI
National Provider Identifier
1346814613
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005542 Issued in MI
Practice address
350 W North St
Gaylord, MI 49735-1525
Phone
(989) 732-6455
NPI assigned
May 19, 2021
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005542 MI Primary

Addresses

Primary practice location

350 W North St
Gaylord, MI 49735-1525

Mailing address

PO Box 1665
Gaylord, MI 49734-5665
Phone (989) 732-6455

Other practice location 1

724 S Main St # 2291
Cheboygan, MI 49721-2220
Phone (231) 627-3169

Other practice location 2

1200 W North Down River Rd
Grayling, MI 49738-8025
Phone (989) 348-8689

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address plawrence@alpineeyecare.direct.medflow.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210527000876 MI Practitioner - Optometry 7416356282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey K Chaulk MD PCGroup PAC ID 6305947458, 5 clinicians

Practice addresses (Care Compare)

350 N St
Gaylord, MI 49735-1525
Phone (989) 732-6455

Merit-based Incentive Payment System (MIPS)

Final score
87.39 of 100Reported as group
Quality
89.51
Improvement activities
40
Cost
71.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005542MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Eye Care, PC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Jeffrey K Chaulk MD PC Optometrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

724 S Main St
Cheboygan, MI 49721
Phone (231) 445-9119

724 S Main St
#2291
Cheboygan, MI 49721
Phone (231) 627-3169

350 W North St
Gaylord, MI 49735
Phone (517) 732-6455

1200 W North Down River Rd
Grayling, MI 49738
Phone (517) 348-2896

Interoperability endpoints

  • Direct secure messaging: plawrence@alpineeyecare.ecldirect.net

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1346814613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1665",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497345665",
            "telephone_number": "989-732-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W NORTH ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351525",
            "telephone_number": "989-732-6455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 S Main St # 2291",
            "address_purpose": "LOCATION",
            "city": "Cheboygan",
            "state": "MI",
            "postal_code": "497212220",
            "country_code": "US",
            "telephone_number": "231-627-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 W North Down River Rd",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497388025",
            "country_code": "US",
            "telephone_number": "989-348-8689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "PETER",
        "middle_name": "DUNSMORE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "plawrence@alpineeyecare.direct.medflow.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "350 W North St",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497351525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.