Active NPI
Lawrence Matthew Dawson Jr., O.D.
- Optometrist
- Walker, LA
National Provider Identifier
1609974930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 721
- Practice address
- 28270 Walker Rd S
Walker, LA 70785-6028 - Phone
- (225) 667-0214
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 721 | LA | Primary |
Addresses
Primary practice location
28270 Walker Rd S
Walker, LA 70785-6028
Mailing address
13634 Ridgeview Dr
Baton Rouge, LA 70817-3435
Phone (225) 753-7521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 721 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609974930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13634 RIDGEVIEW DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708173435",
"telephone_number": "225-753-7521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28270 WALKER RD S",
"city": "WALKER",
"state": "LA",
"postal_code": "707856028",
"telephone_number": "225-667-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "LAWRENCE",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walker, LA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.