Individual provider Active NPI

Benjamin Lawrence, O.D.

  • Optometrist
  • Johnson City, TN
National Provider Identifier
1558649491
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3167 Issued in TN
Practice address
3060 Franklin Ter
Johnson City, TN 37604-4123
Phone
(423) 232-1428
NPI assigned
Jul 26, 2011
Last updated
Feb 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3167 TN Primary

Addresses

Primary practice location

3060 Franklin Ter
Johnson City, TN 37604-4123

Mailing address

3060 Franklin Ter
Johnson City, TN 37604-4123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20150521000872 TN Practitioner - Optometry 3577722644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Torrey J. Carlson and AssociatesGroup PAC ID 2365401510, 21 clinicians

Practice addresses (Care Compare)

2600 E Stone Dr
Suite 10
Kingsport, TN 37660-5919
Phone (865) 217-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3257MNMDMarriage & Family Therapist
3167TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Eyes Family Eye Care PLLC Optometrist CurrentSince Oct 4, 2016 Accepting new patients
Dr. Torrey J. Carlson & Associates Optometrist CurrentSince Dec 1, 2021 Accepting new patients
All Eyes PLLC Optometrist Past Accepting new patients
I Care Vision Associates PLLC Optometrist PastSince Sep 29, 2019 Accepting new patients

Locations

554 Pinnacle Pkwy
Ste 701
Bristol, TN 37620
Phone (423) 764-4017

2011 N Roan St
Johnson City, TN 37601
Phone (423) 282-0016

3060 Franklin Ter
Johnson City, TN 37604
Phone (423) 232-1428

2600 E Stone Dr
Ste 10
Kingsport, TN 37660
Phone (865) 217-1010

11289 Parkside Dr
Spc 1108
Knoxville, TN 37934
Phone (865) 217-1010

Organizations & group practices 4

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1558649491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 FRANKLIN TER",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 FRANKLIN TER",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044123",
            "telephone_number": "423-232-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "BENJAMIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-26",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.