Organization Active NPI

Lawrence a. Shafron MD PA

  • Specialist
  • Denton, TX
National Provider Identifier
1760587661
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J1389 Issued in TX
Legal business name
LAWRENCE A. SHAFRON MD PA
Practice address
2210 San Jacinto Blvd Ste 1
Denton, TX 76205-7531
Phone
(940) 382-8000
Fax
(940) 383-2608
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Dr. Lawrence Aaron Shafron, MDNPI 1831295153
Title
President
Phone
(940) 382-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J1389 TX Primary

Addresses

Primary practice location

2210 San Jacinto Blvd Ste 1
Denton, TX 76205-7531

Mailing address

2210 San Jacinto Blvd
Suite 1
Denton, TX 76205-7527
Phone (940) 382-8000

Other identifiers 1

IdentifierTypeStateIssuer
8AK441OtherTXBCBS PIN

Other names 1

  • Advanced Eye Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071226000073 TX Part B Supplier - Clinic/Group Practice 8628168937 Receives reassigned benefits from 8 practitioners
Practice locations: Denton, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2092661Advanced Eye Care Center2210 San Jacinto Blvd, Denton, TX 76205Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory

Locations

2210 San Jacinto Blvd
Ste 1
Denton, TX 76205
Phone (940) 382-8000

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1760587661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 SAN JACINTO BLVD",
            "address_2": "SUITE 1",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057527",
            "telephone_number": "940-382-8000",
            "fax_number": "940-383-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 SAN JACINTO BLVD STE 1",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057531",
            "telephone_number": "940-382-8000",
            "fax_number": "940-383-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A. SHAFRON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "SHAFRON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-382-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "8AK441",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.