Lawrence W Smith, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2331035 Issued in WI

Practice address

5684 N. Center Park Way
Bayshore Town Center
Glendale, WI 53217-1320

Phone

(414) 962-2021

Fax

(414) 962-2021

NPI assigned

May 17, 2006

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

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shoptikal LLC

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment Care Compare group NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Neenah, WI
  • NPI 1982260378

  Optometrist

  NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Elliott Vision Center Inc.

  • Optometrist
  • Racine, WI
  • NPI 1669590006
  NPD (past)
• Eye Care Surgical Consulting, S.C.

  • Ophthalmology Physician
  • Racine, WI
  • NPI 1578606810
  NPD (past)
• Luxottica of America Inc.

  • Eyewear Supplier
  • Glendale, WI
  • NPI 1174663108
  NPD (past)
• Shopko Stores Operating Co LLC

  • Community/Retail Pharmacy
  • Eau Claire, WI
  • NPI 1720034176
  NPD (past)
• Shoptikal LLC

  • Eyewear Supplier
  • Waupaca, WI
  • NPI 1437727856

  Optometrist

  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609828581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534055004",
            "telephone_number": "262-308-0027",
            "fax_number": "262-308-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5684 N. CENTER PARK WAY",
            "address_2": "BAYSHORE TOWN CENTER",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532171320",
            "telephone_number": "414-962-2021",
            "fax_number": "414-962-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAWRENCE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2331035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H. Winston Slater, Jr., D.D.S.
• Philip Sletteland
• Kelly Elizabeth Smerz, PH.D.
• Paul Marlin Smerz, PH.D.
• Armani Smith
• Michael F Smith, LPC, MS, MA, MBA
• Zachary M Smith, PT
• Lisa Hahn Speidel, MD
• Larry Sprung, MD
• Ssail Center Inc

• Optometrist in Glendale, WI
• Providers in Glendale, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• 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.

Verify at the official NPI Registry.