Lauren Renee Eder, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5784 Issued in OH

Practice address

105 Morey Dr
Marysville, OH 43040-1647

Phone

(937) 642-2002

Fax

(937) 642-3620

NPI assigned

Aug 21, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Lauren Renee Bumgardner Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optometric Management Group LLCGroup PAC ID 7517034291, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leder@direct.eyecare-partners.com

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.

• Optometric Management Group LLC

  • Optometrist
  • Powell, OH
  • NPI 1265534093
  Medicare reassignment Care Compare group NPD
• Fries Eye Care, LLC

  • Optometrist
  • Westerville, OH
  • NPI 1609018126
  Medicare reassignment NPD
• Pickerington Eyecare

  • Optometrist
  • Pickerington, OH
  • NPI 1679763577
  Medicare reassignment NPD
• Russell a Maringer OD Inc.

  • Optometrist
  • Tiffin, OH
  • NPI 1083804074
  Medicare reassignment NPD
• Clarkson Optometry Midwest Inc

  • Optometrist
  • Centerville, OH
  • NPI 1073917597
  Medicare reassignment
• Clarkson Optometry Midwest Inc

  • Optometrist
  • West Chester, OH
  • NPI 1003348327
  NPD
• Fries Eye Care, LLC

  • Optometrist
  • Washington Court House, OH
  • NPI 1407141906
  NPD
• David W Wineland

  • Optometrist
  • Circleville, OH
  • NPI 1215092804
  NPD (past)
• Miamisburg Vision Care

  • Durable Medical Equipment & Medical Supplies
  • Miamisburg, OH
  • NPI 1912111436
  NPD (past)

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1962659995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD",
            "address_2": "SUITE 201",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401647",
            "telephone_number": "937-642-2002",
            "fax_number": "937-642-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDER",
        "first_name": "LAUREN",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "4266771",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BUMGARDNER",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Dusch
• John Dye, LICDC
• Joan Early, LSW
• Jamie Easton, BSW
• Michelle A Echevarria, MD
• Melissa Edwards, PT
• Jeffrey Brian Egelhoff
• Jordan Eggleston, PT, DPT, AT
• Madison Michelle Eldridge, PA-C
• Emeritus Corporation

• Optometrist in Marysville, OH
• Providers in Marysville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.