Greater Lawrence Optical

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

GREATER LAWRENCE OPTICAL

Practice address

280 Haverhill St
Lawrence, MA 01840

Phone

(978) 685-4867

Fax

(978) 685-4867

NPI assigned

Dec 1, 2006

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth L Macoul, MDNPI 1891863528

Title

Owner

Phone

(978) 685-4867

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Kenneth L Macoul, MD

  • Ophthalmology Physician
  • Lawrence, MA
  • NPI 1891863528
  Authorized official Same address or phone

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1700954435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HAVERHILL STREET",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01840",
            "telephone_number": "978-685-5366",
            "fax_number": "978-685-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HAVERHILL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01840",
            "telephone_number": "978-685-4867",
            "fax_number": "978-685-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER LAWRENCE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "MACOUL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-685-4867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520458",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greater Lawrence Family Health Center Inc.
• Greater Lawrence Family Health Center, Inc.
• Greater Lawrence Family Health Center, Inc. (Greater Lawrence Family Health Center)
• Greater Lawrence Family Health Center, Inc.
• Greater Lawrence Family Health Center, Inc.
• Melanie Greathead
• Greatwaycare LLC
• Rochelle Karen Greene, M.ED.
• Steven Williammundkur Greer, M.D.
• Jazmin Gregorio, LPN

• Eyewear Supplier in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Eyewear Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.