Individual provider Active NPI

Forrest C. Lawrence II, MD

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1881600716
Registry record updated Apr 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
13145 Issued in OK
Practice address
12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604
Phone
(405) 752-0717
Fax
(405) 752-0711
NPI assigned
Jul 31, 2006
Last updated
Apr 29, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 13145 OK Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 13145 OK

Addresses

Primary practice location

12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604

Mailing address

12318 Saint Andrews Dr
Oklahoma City, OK 73120-8604
Phone (405) 752-0717

Other identifiers 1

IdentifierTypeStateIssuer
200027520AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040706000292 OK Practitioner - Ophthalmology 5991782237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13145OKMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: direct@raookc.compulinkdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493424000000",
    "number": "1881600716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12318 SAINT ANDREWS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208604",
            "telephone_number": "405-752-0717",
            "fax_number": "405-752-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12318 SAINT ANDREWS DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208604",
            "telephone_number": "405-752-0717",
            "fax_number": "405-752-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "FORREST",
        "middle_name": "C.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "13145",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OK",
            "license": "13145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200027520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.