Organization Active NPI

Lawrence Optometric Center, LLC

Doing business as Lawrence Optometric Center

  • Optometrist
  • Lawrence, KS
National Provider Identifier
1700074929
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1698 Issued in KS
Legal business name
LAWRENCE OPTOMETRIC CENTER, LLC
Doing business as
Lawrence Optometric Center
Practice address
930 Iowa St
Suite 3
Lawrence, KS 66044-1869
Phone
(785) 842-1242
Fax
(785) 842-9557
NPI assigned
Oct 12, 2007
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Dr. Aaron R Wilmes, ODNPI 1548236987
Title
Owner
Phone
(785) 842-1242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1698 KS Primary

Addresses

Primary practice location

930 Iowa St
Suite 3
Lawrence, KS 66044-1869

Mailing address

930 Iowa St
Suite 3
Lawrence, KS 66044-1869
Phone (785) 842-1242

Other identifiers 2

IdentifierTypeStateIssuer
100220580MedicaidKS
200268940DMedicaidKS

Other names 1

  • Lawrence Optometric Center Doing business as

National Provider Directory

National Provider Directory

Locations

930 Iowa St
Ste 3
Lawrence, KS 66044
Phone (785) 842-1242

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1700074929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 IOWA ST",
            "address_2": "SUITE 3",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441869",
            "telephone_number": "785-842-1242",
            "fax_number": "785-842-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 IOWA ST",
            "address_2": "SUITE 3",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441869",
            "telephone_number": "785-842-1242",
            "fax_number": "785-842-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE OPTOMETRIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "WILMES",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-842-1242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100220580",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200268940D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.