Organization Active NPI

Lawrence G. Simons

  • Vision Therapy Optometrist
  • Calabasas, CA
National Provider Identifier
1386770865
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
7352T Issued in CA
Legal business name
LAWRENCE G. SIMONS
Practice address
4505 Las Virgenes Rd
#106
Calabasas, CA 91302-1956
Phone
(818) 871-9898
Fax
(818) 871-9797
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lawrence Glenn Simons, O.D.NPI 1225165541
Title
Owner
Phone
(818) 871-9898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 7352T CA Primary

Addresses

Primary practice location

4505 Las Virgenes Rd
#106
Calabasas, CA 91302-1956

Mailing address

4505 Las Virgenes Rd
#106
Calabasas, CA 91302-1956

Other identifiers 2

IdentifierTypeStateIssuer
WOP7352COtherCAPPIN
WY189OtherCAGROUP ID

National Provider Directory

National Provider Directory

Locations

4505 Las Virgenes Rd
Ste 106
Calabasas, CA 91302
Phone (818) 871-9898

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386770865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 LAS VIRGENES RD",
            "address_2": "#106",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 LAS VIRGENES RD",
            "address_2": "#106",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021956",
            "telephone_number": "818-871-9898",
            "fax_number": "818-871-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE G. SIMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMONS",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-871-9898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "7352T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WOP7352C",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID",
            "identifier": "WY189",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.