Michael Lamensdorf MD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4238 Issued in FL

Legal business name

MICHAEL LAMENSDORF MD PA

Practice address

1428 S Tamiami TRL
Sarasota, FL 34239-2901

Phone

(941) 957-4978

Fax

(941) 955-7905

NPI assigned

Nov 5, 2007

Organization subpart

No

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

Authorized official

Name

Michael Lamensdorf, MD

Title

Owner

Phone

(941) 957-4987

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1992985261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392901",
            "telephone_number": "941-957-4978",
            "fax_number": "941-955-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392901",
            "telephone_number": "941-957-4978",
            "fax_number": "941-955-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL LAMENSDORF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "LAMENSDORF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-957-4987",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1336138395",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.