Individual provider Active NPI

Lawrence C Murch, OD OPTOMETRIST

  • Optometrist
  • Mechanic Falls, ME
National Provider Identifier
1528103785
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
495 Issued in ME
Practice address
17 Lewiston St
Mechanic Falls, ME 04256-0125
Phone
(207) 345-9863
NPI assigned
Feb 21, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 495 ME Primary

Addresses

Primary practice location

17 Lewiston St
Mechanic Falls, ME 04256-0125

Mailing address

PO Box 125
17 Lewiston St
Mechanic Falls, ME 04256-0125
Phone (207) 345-9863

Other identifiers 7

IdentifierTypeStateIssuer
116700000MedicaidME
NONHMO5591255OtherAETNA
HMO1041880OtherAETNA
620123801OtherCIGNA
014094OtherANTHEM
1047230001OtherDMERC REGION A
T79560OtherHARVARD PILGRIM

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
495MEMDClinical Psychologist

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, 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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1528103785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "address_2": "17 LEWISTON ST",
            "city": "MECHANIC FALLS",
            "state": "ME",
            "postal_code": "042560125",
            "telephone_number": "207-345-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LEWISTON ST",
            "city": "MECHANIC FALLS",
            "state": "ME",
            "postal_code": "042560125",
            "telephone_number": "207-345-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURCH",
        "first_name": "LAWRENCE",
        "middle_name": "C",
        "credential": "OD OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116700000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "NONHMO5591255",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "HMO1041880",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "620123801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "014094",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION A",
            "identifier": "1047230001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "T79560",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanic Falls, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.