Individual provider Active NPI

Lawrence E Roel, M.D.

  • Ophthalmology Physician
  • Spartanburg, SC
National Provider Identifier
1467419655
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14463 Issued in SC
Practice address
735 E Main St
Spartanburg, SC 29302-1281
Phone
(864) 542-1308
Fax
(864) 577-9707
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14463 SC Primary

Addresses

Primary practice location

735 E Main St
Spartanburg, SC 29302-1281

Mailing address

735 E Main St
Spartanburg, SC 29302-1281
Phone (864) 542-1308

Other identifiers 1

IdentifierTypeStateIssuer
GP2757MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Eye Center LLC PastSince Nov 28, 2003 Accepting new patients
Eastside Eye Center PA Ophthalmology PastSince Aug 6, 1990 Accepting new patients
Westside Optical Shop,LLC PastSince Feb 14, 2012 Accepting new patients

Organizations & group practices 3

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1467419655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021281",
            "telephone_number": "864-542-1308",
            "fax_number": "864-577-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 E MAIN ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021281",
            "telephone_number": "864-542-1308",
            "fax_number": "864-577-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEL",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "14463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP2757",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.