Individual provider Active NPI

Lawrence William Ernst, O.D.

  • Optometrist
  • Warrenton, MO
National Provider Identifier
1972555167
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02923 Issued in MO
Practice address
277 West Veterans Memorial Pkwy
Warrenton, MO 63383-1211
Phone
(636) 456-2020
NPI assigned
May 16, 2006
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02923 MO Primary

Addresses

Primary practice location

277 West Veterans Memorial Pkwy
Warrenton, MO 63383-1211

Mailing address

277 West Veterans Memorial Pkwy
Warrenton, MO 63383-1211
Phone (636) 456-2020

Other identifiers 1

IdentifierTypeStateIssuer
317810505MedicaidMO

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20100607000738 MO Practitioner - Optometry 2860497807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Eyecare LLCGroup PAC ID 3072859156, 4 clinicians

Practice addresses (Care Compare)

17 Ronnies PLZ
Saint Louis, MO 63126-3552
Phone (314) 843-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Appelman Eye Associates, LLC Optometrist CurrentSince Jan 23, 2018 Accepting new patients
Medical Eyecare, LLC Optometrist CurrentSince Dec 28, 2018 Accepting new patients
Pec Warrenton LLC Optometrist Past Accepting new patients

Locations

17 Ronnies Plz
Saint Louis, MO 63126
Phone (314) 843-2020

100 Piper Hill Dr
Ste D
Saint Peters, MO 63376
Phone (636) 928-3937

Organizations & group practices 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1972555167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 WEST VETERANS MEMORIAL PKWY",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633831211",
            "telephone_number": "636-456-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 WEST VETERANS MEMORIAL PKWY",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633831211",
            "telephone_number": "636-456-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST",
        "first_name": "LAWRENCE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317810505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, MO

Sources for this page

Verify at the official NPI Registry.