Active NPI
Peter Dunsmore Lawrence, OD
- Optometrist
- Gaylord, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005542
- Practice address
- 350 W North St
Gaylord, MI 49735-1525 - Phone
- (989) 732-6455
- NPI assigned
- May 19, 2021
- Last updated
- Dec 15, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 89.51
- Improvement activities
- 40
- Cost
- 71.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005542 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Eye Care, PC | Optometrist | Current | Accepting new patients |
| Jeffrey K Chaulk MD PC | Optometrist | Current | 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
- 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.
-
dba Alpine Eye Care
- Ophthalmology Physician
- Gaylord, MI
- NPI 1215065727
Optometrist
-
dba Alpine Eye Care
- Ophthalmology Physician
- Cheboygan, MI
- NPI 1902093701
Optometrist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.