Individual provider Active NPI

Joseph Lawless, O.D.

  • Optometrist
  • Chesterfield, MI
National Provider Identifier
1376605956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002786 Issued in MI
Practice address
32901 23 Mile Rd
Suite 180
Chesterfield, MI 48047-4063
Phone
(586) 725-7311
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002786 MI Primary

Addresses

Primary practice location

32901 23 Mile Rd
Suite 180
Chesterfield, MI 48047-4063

Mailing address

32901 23 Mile Rd
Suite 180
Chesterfield, MI 48047-4063

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
I20120917000333 MI Practitioner - Optometry 8123095916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

32901 23 Mile Rd
Suite 180
Chseterfield, MI 48047-4064
Phone (586) 725-7311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002786MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lawless Optometry PLLC Optometrist CurrentSince Jul 1, 2012 Accepting new patients
Joseph J. Lawless O.D. PastSince Jul 1, 2000 Accepting new patients

Locations

32901 23 Mile Rd
Ste 180
Chesterfield, MI 48047
Phone (586) 725-7311

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376605956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32901 23 MILE RD",
            "address_2": "SUITE 180",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32901 23 MILE RD",
            "address_2": "SUITE 180",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474063",
            "telephone_number": "586-725-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLESS",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.