Individual provider Active NPI

Lawrence G. Shapiro, O.D.

  • Optometrist
  • Livingston, NJ
National Provider Identifier
1730151804
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
270A00357200 Issued in NJ
Practice address
57 E Mount Pleasant Ave
Livingston, NJ 07039-3003
Phone
(973) 533-1333
NPI assigned
Feb 3, 2006
Last updated
May 26, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 270A00357200 NJ Primary

Addresses

Primary practice location

57 E Mount Pleasant Ave
Livingston, NJ 07039-3003

Mailing address

57 E Mount Pleasant Ave
Livingston, NJ 07039-3003
Phone (973) 533-1333

Other identifiers 1

IdentifierTypeStateIssuer
0289809MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090116000048 NJ Practitioner - Optometry 1052474061 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
270A00357200NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Van Vinciguerra Optometry, P.C. Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Professional Eyecare Associates PA Optometrist CurrentSince Jan 1, 2025 Accepting new patients
The Medistation LLC CurrentSince Jul 14, 2022 Accepting new patients
Dr. Alan Ross OD PA Past Accepting new patients
Eyecare One LLC Optometrist Past Accepting new patients

Locations

740 Anderson Ave
Cliffside Pk, NJ 07010
Phone (201) 313-0303

270 Closter Dock Rd
Closter, NJ 07624
Phone (201) 768-2433

57 E Mount Pleasant Ave
Livingston, NJ 07039
Phone (862) 799-7400

158 Market St
Paterson, NJ 07505
Phone (973) 684-1545

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1730151804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 E MOUNT PLEASANT AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393003",
            "telephone_number": "973-533-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E MOUNT PLEASANT AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393003",
            "telephone_number": "973-533-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "LAWRENCE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "270A00357200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0289809",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

Verify at the official NPI Registry.