Individual provider Active NPI

Lawrence Kaplan

  • Optometrist
  • Mill Valley, CA
National Provider Identifier
1497765028
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6475 Issued in CA
Practice address
61 Camino Alto Ste 100
Mill Valley, CA 94941-2900
Phone
(415) 381-2020
Fax
(415) 381-0774
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6475 CA Primary

Addresses

Primary practice location

61 Camino Alto Ste 100
Mill Valley, CA 94941-2900

Mailing address

61 Camino Alto
Ste 100a
Mill Valley, CA 94941-2900
Phone (415) 459-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20071231000167 CA Practitioner - Optometry 5698726982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

61 Camino Alto
Suite 100a
Mill Valley, CA 94941-2900
Phone (415) 381-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eliot Kaplan O D Inc Optometrist CurrentSince Mar 29, 1999 Accepting new patients

Locations

61 Camino Alto
Ste 100A
Mill Valley, CA 94941
Phone (415) 381-2020

61 Camino Alto
Ste 100
Mill Valley, CA 94941
Phone (415) 381-2020

1225 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 763-2020

Organizations & group practices 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1497765028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 CAMINO ALTO",
            "address_2": "STE 100A",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412900",
            "telephone_number": "415-459-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CAMINO ALTO STE 100",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412900",
            "telephone_number": "415-381-2020",
            "fax_number": "415-381-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "LAWRENCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.