Individual provider Active NPI

Albert I Lavsky, O.D.

  • Optometrist
  • Northwood, OH
National Provider Identifier
1508911439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3546 Issued in OH
Practice address
3725 Williston Rd
Sears Optical
Northwood, OH 43619-2032
Phone
(419) 693-0277
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3546 OH Primary

Addresses

Primary practice location

3725 Williston Rd
Sears Optical
Northwood, OH 43619-2032

Mailing address

3319 Middlesex Dr
Apt. a
Toledo, OH 43606-1648
Phone (419) 531-6041

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3546OHMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508911439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 MIDDLESEX DR",
            "address_2": "APT. A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061648",
            "telephone_number": "419-531-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 WILLISTON RD",
            "address_2": "SEARS OPTICAL",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436192032",
            "telephone_number": "419-693-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVSKY",
        "first_name": "ALBERT",
        "middle_name": "I",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.