Individual provider Active NPI

Mark John Lawn, NEW YORK LIC OPHTHAL

  • Optician
  • Auburn, NY
National Provider Identifier
1861558579
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C0031041 Issued in NY
Practice address
13 East Genesee St
Auburn, NY 13021-4045
Phone
(315) 253-2915
Fax
(315) 258-8693
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X C0031041 NY Primary

Addresses

Primary practice location

13 East Genesee St
Auburn, NY 13021-4045

Mailing address

13 East Genesee St
Auburn, NY 13021-4045
Phone (315) 253-2915

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
C0031041NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark J Lawn Optician Optician Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861558579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 EAST GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214045",
            "telephone_number": "315-253-2915",
            "fax_number": "315-258-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 EAST GENESEE ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130214045",
            "telephone_number": "315-253-2915",
            "fax_number": "315-258-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWN",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "credential": "NEW YORK LIC OPHTHAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C0031041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.