Lawrence E Addison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3184-35 Issued in WI

Practice address

4009 Community Center Dr
Weston, WI 54476-4139

Phone

(715) 241-2020

Fax

(715) 241-9827

NPI assigned

Jul 8, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

University of Alabama School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Total Vision Eyecare, PLLC

  • Optometrist
  • Rochester, MN
  • NPI 1316588700

  MN, Optometrist

  Medicare reassignment NPD Authorized official
• Northern Sight Vision Clinic, LLC

  • Optometrist
  • Phillips, WI
  • NPI 1295947109
  NPD (past)
• Northern Sight Vision Clinic, LLC

  • Optometrist
  • Tomahawk, WI
  • NPI 1972723716
  NPD (past)
• Stine Eye Center, LLC

  • Optometrist
  • Weston, WI
  • NPI 1043383755
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1760794697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 COMMUNITY CENTER DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544764139",
            "telephone_number": "715-241-2020",
            "fax_number": "715-241-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 COMMUNITY CENTER DR",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544764139",
            "telephone_number": "715-241-2020",
            "fax_number": "715-241-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3184-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A1 Home Health Care LLC
• A1 Tendercare at Home LLC
• Mohamed Fouzi Abdul Hameed, M.D.
• Jeanette M Abraham, MD
• Access Heart
• Olusolape Ajibola Adegbehingbe, M.D
• Michael Adu-Gyamfi
• Melissa J Aebly, MD
• Natalie M Altenhofen, SLP
• Katie Anderson, NP

• All providers in Weston, WI
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.