Individual provider Active NPI

Kenneth Wayne Lawson, OD

  • Optometrist
  • Bradenton, FL
National Provider Identifier
1619082708
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2678 Issued in FL
Practice address
5632 26TH St W
Bradenton, FL 34207
Phone
(941) 751-4668
Fax
(941) 751-4809
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2678 FL Primary

Addresses

Primary practice location

5632 26TH St W
Bradenton, FL 34207

Mailing address

5632 26TH St W
Bradenton, FL 34207-3515
Phone (941) 751-4668

Other identifiers 2

IdentifierTypeStateIssuer
45436OtherFLBCBS
085991500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101115000203 FL Practitioner - Optometry 7012021660 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hang Thai IncGroup PAC ID 2668993585, 3 clinicians

Practice addresses (Care Compare)

5632 26TH St W
Bradenton, FL 34207-3515
Phone (941) 751-4668

5632 26TH W St
Bayshore Eye Care
Bradenton, FL 34207-3515
Phone (941) 751-4668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP2678FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hang Thai Inc Optometrist CurrentSince Aug 25, 2025 Accepting new patients
K&J Eye Care, PA Optometrist CurrentSince Oct 3, 1999 Accepting new patients

Locations

5632 26th St W
Bradenton, FL 34207
Phone (941) 351-9440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1619082708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342073515",
            "telephone_number": "941-751-4668",
            "fax_number": "941-751-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34207",
            "telephone_number": "941-751-4668",
            "fax_number": "941-751-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45436",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085991500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.