Lawrence John Waite, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV4209-1 Issued in NY

Practice address

382 W Church St
Elmira, NY 14901-2621

Phone

(607) 733-2694

Fax

(607) 733-1139

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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 NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1578561122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012621",
            "telephone_number": "607-733-2694",
            "fax_number": "607-733-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 W CHURCH ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012621",
            "telephone_number": "607-733-2694",
            "fax_number": "607-733-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "LAWRENCE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV4209-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS",
            "identifier": "OVS71",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Wade, CNM
• Kimberly Wade, LPN
• Christa A. Wagner, OTR-L
• Gerri Lynne Wagner, LCSW
• Abdul Waheed, MD
• Wal-Mart Stores East, LP (Vision Center 30-1976)
• Camille Waldron
• Walgreen Co (Walgreens #10864)
• Walgreen Co (Walgreens #10865)
• Walgreens

• Optometrist in Elmira, NY
• Providers in Elmira, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.