Individual provider Active NPI

Lawrence Wang, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1548326168
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NV0392 Issued in NV
Practice address
7090 N Durango Dr
Ste 110
Las Vegas, NV 89149-4494
Phone
(702) 220-3937
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NV0392 NV Primary

Addresses

Primary practice location

7090 N Durango Dr
Ste 110
Las Vegas, NV 89149-4494

Mailing address

PO Box 33849
Las Vegas, NV 89133-3849
Phone (702) 336-3493

Other identifiers 1

IdentifierTypeStateIssuer
100502419MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20050617000081 NV Practitioner - Optometry 1557305919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Wang OD IncGroup PAC ID 9133163587, 3 clinicians

Practice addresses (Care Compare)

7090 N Durango
Suite 110
Las Vegas, NV 89149-4495

7090 N Durango Dr
Suite 110
Las Vegas, NV 89149-4495
Phone (702) 220-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NV0392NVMDOptometrist
392NVMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Wang OD Inc Optometrist Current Accepting new patients
Lawrence Wang OD Inc Optometrist CurrentSince Jun 24, 2011 Accepting new patients

Locations

3625 S Rainbow Blvd
Las Vegas, NV 89103
Phone (702) 367-9999

7090 N Durango Dr
Ste 110
Las Vegas, NV 89149
Phone (702) 220-3937

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": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1548326168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33849",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891333849",
            "telephone_number": "702-336-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 N DURANGO DR",
            "address_2": "STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494494",
            "telephone_number": "702-220-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV0392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502419",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.