Active NPI
Laurence R Avins, MD
- Ophthalmology Physician
- Princeton, NJ
National Provider Identifier
1902133432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- R6635
- Practice address
- 1301 Barclay Blvd
Princeton, NJ 08540-5886 - Phone
- (314) 520-3282
- NPI assigned
- Nov 4, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R6635 | MO | |
| Ophthalmology Physician | 207W00000X | R6635 | MO | Primary |
Addresses
Primary practice location
1301 Barclay Blvd
Princeton, NJ 08540-5886
Mailing address
1301 Barclay Blvd
Princeton, NJ 08540-5886
Phone (314) 520-3282
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6635 | MO | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Consultants, LLC | Past | Accepting new patients | |
| Retina & Vitreous Consultants Inc | Ophthalmology | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Saint Louis, MO
- NPI 1255452603
-
dba The Retina Institute
- Retina Specialist (Ophthalmology) Physician
- Brentwood, MO
- NPI 1700175395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1902133432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BARCLAY BLVD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085405886",
"telephone_number": "314-520-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BARCLAY BLVD",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085405886",
"telephone_number": "314-520-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVINS",
"first_name": "LAURENCE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "R6635",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MO",
"license": "R6635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.