Individual provider Active NPI

Austin Layne Lagrow, MD

  • Ophthalmology Physician
  • Midwest City, OK
National Provider Identifier
1508489956
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35865 Issued in OK
Practice address
2150 S Douglas Blvd Ste H
Midwest City, OK 73130-6200
Phone
(405) 771-0880
Fax
(405) 562-2116
NPI assigned
May 20, 2020
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 35865 OK Primary

Addresses

Primary practice location

2150 S Douglas Blvd Ste H
Midwest City, OK 73130-6200

Mailing address

2150 S Douglas Blvd Ste H
Midwest City, OK 73130-6200
Phone (405) 771-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611002252 OK Practitioner - Ophthalmology 2062830383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Specialists of Oklahoma PLLCGroup PAC ID 4789945239, 5 clinicians
Oklahoma Eye InstituteGroup PAC ID 1759519754, 4 clinicians

Practice addresses (Care Compare)

3431 S Boulevard
Suite 105
Edmond, OK 73013-5514
Phone (405) 562-2036

5370 NW Cache Rd
Suite 6
Lawton, OK 73505-3371
Phone (580) 536-0000

Merit-based Incentive Payment System (MIPS)

Final score
90.36 of 100Reported as group
Quality
92.35
Improvement activities
40
Cost
78.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery197

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Specialists of Oklahoma PLLC Ophthalmology CurrentSince Jul 1, 2024 Accepting new patients
Oklahoma Eye Institute, LLC Ophthalmology CurrentSince Jun 24, 2024 Accepting new patients
Oklahoma Eye Institute Ophthalmology CurrentSince Jun 24, 2024 Accepting new patients

Locations

3406 S Boulevard
Edmond, OK 73013
Phone (405) 230-9700

3431 S Boulevard
Ste 105
Edmond, OK 73013
Phone (405) 341-6941

1020 N Main St
Elk City, OK 73644
Phone (580) 255-1555

5370 NW Cache Rd
Ste 6
Lawton, OK 73505
Phone (405) 607-6699

5374 NW Cache Rd
Lawton, OK 73505
Phone (580) 536-0000

2150 S Douglas Blvd
Ste H
Oklahoma City, OK 73130
Phone (405) 771-0880

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1508489956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S DOUGLAS BLVD STE H",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306200",
            "telephone_number": "405-771-0880",
            "fax_number": "405-562-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S DOUGLAS BLVD STE H",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306200",
            "telephone_number": "405-771-0880",
            "fax_number": "405-562-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGROW",
        "first_name": "AUSTIN",
        "middle_name": "LAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "35865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.