Organization Active NPI

Lawless Optometry PLLC

  • Optometrist
  • Chesterfield, MI
National Provider Identifier
1902153596
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002786 Issued in MI
Legal business name
LAWLESS OPTOMETRY PLLC
Practice address
32901 23 Mile Rd
Suite 180
Chesterfield, MI 48047-4063
Phone
(586) 725-7311
NPI assigned
Aug 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Authorized official

Name
Dr. Joseph Lawless, O.D.NPI 1376605956
Title
Owner
Phone
(586) 725-7311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002786 MI Primary

Addresses

Primary practice location

32901 23 Mile Rd
Suite 180
Chesterfield, MI 48047-4063

Mailing address

32901 23 Mile Rd
Suite 180
Chesterfield, MI 48047-4063
Phone (586) 725-7311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120824000673 MI Part B Supplier - Clinic/Group Practice 8224285366 Receives reassigned benefits from 1 practitioner
Practice locations: Chseterfield, MI

National Provider Directory

National Provider Directory

Locations

32901 23 Mile Rd
Ste 180
Chesterfield, MI 48047
Phone (586) 725-7311

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1902153596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32901 23 MILE RD",
            "address_2": "SUITE 180",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474063",
            "telephone_number": "586-725-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32901 23 MILE RD",
            "address_2": "SUITE 180",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474063",
            "telephone_number": "586-725-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWLESS OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "LAWLESS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-725-7311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.