Lawrence A Phillips, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

MA3642 Issued in MA

Practice address

40 Brattle St
Cambridge, MA 02138-3712

Phone

(617) 547-3310

Fax

(617) 547-3313

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Optometry

Education

New England College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mso Doc LLCGroup PAC ID 0143725382, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mso Doc LLC

  • Optometrist
  • Cambridge, MA
  • NPI 1528837309
  Medicare reassignment Care Compare group NPD
• Geoffrey a White & Assoc. Inc.

  dba Central Square Eye Care

  • Optometrist
  • Cambridge, MA
  • NPI 1427228675
  NPD (past)
• Geoffrey a. White & Assoc. Inc.

  dba Central Square Eye Care

  • Optometrist
  • Cambridge, MA
  • NPI 1114111341
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518068923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 BROOKLINE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024592802",
            "telephone_number": "617-547-3310",
            "fax_number": "617-497-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BRATTLE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383712",
            "telephone_number": "617-547-3310",
            "fax_number": "617-547-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MA",
            "license": "MA3642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391786",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aleksandra Panov Phillips, M.D.
• Ariel Ingrid Aino Phillips, ED.D.
• Bradley Christopher Phillips
• Christina Anne Phillips, M.D.
• Laura Kathryn Phillips, PH.D.
• Richard Russell Phillips III, PH.D.
• Kristopher Philogene, M.D.
• Yanjuan Pi
• Anna Lyn Picciano
• Paula Piccolo, NP

• Corneal and Contact Management Optometrist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Corneal and Contact Management Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.