Individual provider Active NPI

Lauren Oberley

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1417443375
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004112A Issued in IN
Practice address
2121 Lake Ave
Fort Wayne, IN 46805-5100
Phone
(260) 460-1442
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004112A IN Primary

Addresses

Primary practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Mailing address

530 Bradley St
Dubuque, IA 52003-7262
Phone (260) 385-9134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20190712000890 IA Practitioner - Optometry 3173858131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klauer Optometry PCGroup PAC ID 3375892920, 2 clinicians

Practice addresses (Care Compare)

1705 Delhi St
Uppr Lev
Dubuque, IA 52001-5900
Phone (563) 557-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004112AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Klauer Optometry PC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Klauer Optometry PC Optometrist CurrentSince Jul 1, 2019 Accepting new patients

Locations

4330 Czech Ln NE
Cedar Rapids, IA 52402
Phone (319) 378-0066

4330 Czech Ln NE
Ste A2
Cedar Rapids, IA 52402

1705 Delhi St
Uppr Lev
Dubuque, IA 52001
Phone (563) 557-1010

1705 Delhi St
Dubuque, IA 52001
Phone (563) 557-1010

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1417443375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 BRADLEY ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520037262",
            "telephone_number": "260-385-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 LAKE AVE",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468055100",
            "telephone_number": "260-460-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERLEY",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004112A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.