Active NPI
Gregory James Lawrence, OD
- Optometrist
- Hampton, VA
National Provider Identifier
1851815278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002608
- Practice address
- 100 Emancipation Dr
Hampton, VA 23667-0001 - Phone
- (703) 346-4157
- NPI assigned
- Jul 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002608 | VA | Primary |
Addresses
Primary practice location
100 Emancipation Dr
Hampton, VA 23667-0001
Mailing address
2042 Virginia Ave
MC Lean, VA 22101-4940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181114000250 | DC | Practitioner - Optometry | 5193079952 |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4300 E W Hwy
Bethesda, MD 20814-4433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002608 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1851815278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2042 VIRGINIA AVE",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EMANCIPATION DR",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236670001",
"telephone_number": "703-346-4157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "GREGORY",
"middle_name": "JAMES",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-27",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.