Laurie S McConnell OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OB 2812 Issued in FL

Legal business name

LAURIE S MCCONNELL OD PA

Practice address

235 S US Highway 1
Tequesta, FL 33469-2701

Phone

(561) 746-5088

Fax

(561) 746-5989

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Laurie Sebring McConnell, O.D.NPI 1912919994

Title

Owner/Optometrist

Phone

(561) 746-5088

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Private Eyes Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie S McConnell, OD PA

  • Optometrist
  • Tequesta, FL
  • NPI 1912919994

  FL, Optometrist

  Medicare reassignment NPD Authorized official
• Ronald Joseph Scelfo, M.D.

  • Ophthalmology Physician
  • Tequesta, FL
  • NPI 1093867160
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1861661175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S US HIGHWAY 1",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692701",
            "telephone_number": "561-746-5088",
            "fax_number": "561-746-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S US HIGHWAY 1",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334692701",
            "telephone_number": "561-746-5088",
            "fax_number": "561-746-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE S MCCONNELL OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "SEBRING",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "561-746-5088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OB 2812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621128300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Private Eyes Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi E Knab, RD.,LD
• John William Krawczuk, D.D.S.
• Maxine Krynauw, MS, CF-SLP
• Theodore Lamotta, MD
• Carole Lapointe, PHYSICAL THERAPIST
• Kelsey Lavelle
• Cheslie Leacock, M.S. OTR/L
• Jacob Leibovici, DDS
• Lewjack Assisting LLC
• Jessica Hsieh Li, PT, DPT

• All providers in Tequesta, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.