Douglas J Lavenburg MD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

C10002822 Issued in DE

Legal business name

DOUGLAS J LAVENBURG MD PA

Practice address

103 Chesapeake Blvd Ste C
Elkton, MD 21921-6313

Phone

(410) 392-6133

Fax

(410) 392-4958

NPI assigned

Nov 1, 2006

Last updated

Feb 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas J Lavenburg, MDNPI 1649238635

Title

President

Phone

(410) 392-6133

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DE2 enrollments

Enrollment records 2

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Lavenburg, MD

  • Ophthalmology Physician
  • Elkton, MD
  • NPI 1649238635

  DE

  Medicare reassignment Care Compare group NPD Authorized official
• Meredith Alyse Weinberger, OD

  • Optometrist
  • Elkton, MD
  • NPI 1972817724

  DE

  Medicare reassignment Care Compare group NPD
• Kimberly R Bristow, OD

  • Optometrist
  • Newark, DE
  • NPI 1669430211

  MD

  Medicare reassignment Care Compare group NPD
• David Gary Jupiter, OD

  • Optometrist
  • Wilmington, DE
  • NPI 1780794024

  MD

  Medicare reassignment Care Compare group NPD
• Andrew Shyu, MD

  • Ophthalmology Physician
  • Wilmington, DE
  • NPI 1275066599

  MD

  Medicare reassignment Care Compare group NPD
• Erwin D Suh, MD

  • Ophthalmology Physician
  • Newark, DE
  • NPI 1881636173

  MD

  Medicare reassignment Care Compare group NPD
• Rodger H Silverstein, M.D.

  • Specialist
  • Clifton, NJ
  • NPI 1063418192

  MD

  Medicare reassignment NPD
• Thandeka Myeni, M.D.

  • Ophthalmology Physician
  • Springfield, IL
  • NPI 1972764801

  MD

  Medicare reassignment
• Bruce James Sumlin, M.D.

  • Ophthalmology Physician
  • McAllen, TX
  • NPI 1821068107

  MD

  Medicare reassignment
• Jennifer Ruth Lynn, MD

  • Ophthalmology Physician
  • Ardmore, PA
  • NPI 1659390482
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1831276385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CHESAPEAKE BLVD STE C",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216313",
            "telephone_number": "410-392-6133",
            "fax_number": "410-392-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CHESAPEAKE BLVD STE C",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216313",
            "telephone_number": "410-392-6133",
            "fax_number": "410-392-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J LAVENBURG MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "LAVENBURG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-392-6133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "DE",
            "license": "C10002822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burton R Dickerson III, LCSW-C
• Heather Stone Diehl, MSW, LMSW
• Patricia A Dillen, MD
• Ann Gowdy Dominick, FNP
• Stacy Erin Doney, LCSW
• Sabrina Rose Dowlut-Beard, MSW/LGSW
• Dr Lipman LLC
• Dr. Alina Rodek DDS, LLC
• Joanne Lynn Drain, PTA
• Ronnie Drake I

• Optometrist in Elkton, MD
• Providers in Elkton, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.