Individual provider Active NPI

Michael Eugene Lawson, O.D.

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1467459024
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2616TG Issued in TX
Practice address
5431 Everhart Rd
Corpus Christi, TX 78411-4805
Phone
(361) 851-2020
Fax
(361) 852-1210
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2616TG TX Primary

Addresses

Primary practice location

5431 Everhart Rd
Corpus Christi, TX 78411-4805

Mailing address

5431 Everhart Rd
Corpus Christi, TX 78411-4805
Phone (361) 851-2020

Other identifiers 3

IdentifierTypeStateIssuer
80314EOtherTXBLUE CROSS BLUE SHIELD
83007EOtherTXBCBS SINTON
019384901MedicaidTX

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

State licenses

LicenseStateTypeSpecialty
2616TGTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1467459024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 EVERHART RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114805",
            "telephone_number": "361-851-2020",
            "fax_number": "361-852-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5431 EVERHART RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114805",
            "telephone_number": "361-851-2020",
            "fax_number": "361-852-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2616TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80314E",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SINTON",
            "identifier": "83007E",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019384901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.