Active NPI
John Lawrence, OD
- Optometrist
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004197A
- Practice address
- 3300 W Purdue Ave
Muncie, IN 47304-6355 - Phone
- (765) 288-1935
- NPI assigned
- Jul 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004197B | IN | |
| Optometrist | 152W00000X | 18004197A | IN | Primary |
Addresses
Primary practice location
3300 W Purdue Ave
Muncie, IN 47304-6355
Mailing address
220 E Oldfield LN Apt H
Muncie, IN 47303-5928
Other practice location 1
1540 Spring Valley Dr
Huntington, WV 25704-9300
Phone (304) 429-6741
Other practice location 2
3300 W Fox Ridge Ln
Muncie, IN 47304-5201
Phone (765) 289-4727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3300 W Fox Ridge LN
Muncie, IN 47304-5201
Phone (765) 289-4727
3300 W Purdue Ave
Muncie, IN 47304-6355
Phone (765) 288-1935
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004197A | IN | MD | Optometrist |
| 18004197B | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kregg Koons O.D., Inc. | Optometrist | Current | Accepting new patients |
| Kregg Koons O.D., Inc. | Optometrist | Current | Accepting new patients |
Locations
3300 W Fox Ridge Ln
Muncie, IN 47304
Phone (765) 289-4727
3300 W Purdue Ave
Muncie, IN 47304
Phone (765) 287-9579
Interoperability endpoints
- dr.lawrence@makris.emadirect.md
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 and National Provider Directory roles.
-
- Optometrist
- Muncie, IN
- NPI 1902143456
-
- Ophthalmology Physician
- Muncie, IN
- NPI 1801891031
-
- Optometrist
- Muncie, IN
- NPI 1235624289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1609438423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 E OLDFIELD LN APT H",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473035928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 W PURDUE AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473046355",
"telephone_number": "765-288-1935"
}
],
"practiceLocations": [
{
"address_1": "1540 Spring Valley Dr",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257049300",
"country_code": "US",
"telephone_number": "304-429-6741",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3300 W Fox Ridge Ln",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473045201",
"country_code": "US",
"telephone_number": "765-289-4727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAWRENCE",
"first_name": "JOHN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-02",
"last_updated": "2022-03-15",
"certification_date": "2021-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004197B",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004197A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.