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

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

Other identifiers 2

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.

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000542402",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116251900",
            "state": "MD"
        }
    ],
    "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.