Lorry Wayne Lazenby, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO2703 Issued in MO

Practice address

2318 E 32ND St Ste a
Joplin, MO 64804-4326

Phone

(417) 206-0399

Fax

(417) 206-0567

NPI assigned

Sep 20, 2006

Last updated

Oct 2, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Optometry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lazenby Optometry Associates Inc

  • Optometrist
  • Joplin, MO
  • NPI 1205048170
  Medicare reassignment Authorized official
• Stilley Eye Associates, P.C.

  • Optometrist
  • Joplin, MO
  • NPI 1902000466
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1750489001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 E 32ND ST STE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044326",
            "telephone_number": "417-206-0399",
            "fax_number": "417-206-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 E 32ND ST STE A",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044326",
            "telephone_number": "417-206-0399",
            "fax_number": "417-206-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZENBY",
        "first_name": "LORRY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX I.D. #",
            "identifier": "200914664",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurie Lu Behm MD, LLC
• Bethany L Lawson, M.S.
• Elizabeth Marie Lawver, SLPA
• Sue T Lazarus, CNM
• Lazenby Optometry Associates Inc
• Tara Lazure
• Cuong Tan Le, DO
• Jasmine Van-Lam Le
• Lisa Le
• Thien Tri Le

• Optometrist in Joplin, MO
• Providers in Joplin, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.