Individual provider Active NPI

Kathrine Osborn Lorenz, OD

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1780133058
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3260 Issued in FL
Practice address
7500 Centurion Pkwy
Suite 100 D-Gma
Jacksonville, FL 32256-0517
Phone
(904) 443-1032
NPI assigned
Sep 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3260 FL Primary
Optometrist 152W00000X 4670 OH

Addresses

Primary practice location

7500 Centurion Pkwy
Suite 100 D-Gma
Jacksonville, FL 32256-0517

Mailing address

7500 Centurion Pkwy
Suite 100 D-Gma
Jacksonville, FL 32256-0517
Phone (904) 443-1032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4670OHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1780133058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 CENTURION PKWY",
            "address_2": "SUITE 100 D-GMA",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560517",
            "telephone_number": "904-443-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 CENTURION PKWY",
            "address_2": "SUITE 100 D-GMA",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560517",
            "telephone_number": "904-443-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "KATHRINE",
        "middle_name": "OSBORN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3260",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.