LAWRENCE FAMILY VISION CLINIC P A
NPI 1396895009
Optometrist in Lawrence, KS

Active since January 12, 2007
3111 W 6TH ST, LAWRENCE, KS 66049(785) 749-2020 Get Directions Write a Review

NPPES record last updated: January 15, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lawrence Family Vision Clinic P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRENCE FAMILY VISION CLINIC P A (NPI 1396895009) is a healthcare organization registered as an optometrist in Lawrence, Kansas and active in the NPI registry since January 2007. The organization lists Mily Boone-salazar, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1396895009
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLAWRENCE FAMILY VISION CLINIC P A
Location Address3111 W 6TH STLawrence, KS 66049-3101
Mailing Address3111 W 6th StLawrence, KS 66049-3101 · (785) 749-2020 · Fax (785) 749-2323
Organization SubpartNo
Authorized OfficialMily Boone-salazarOffice Manager · (785) 749-2020
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJanuary 15, 2013
✔ NPI 1396895009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3111 W 6TH ST, Lawrence, KS 66049

Other Identifiers 2

Medicare NSC0776480001KS
Medicare PIN005345KS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lawrence Family Vision Clinic P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Lawrence Family Vision Clinic P A, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Optometry
NPI 1205807880
3111 W 6TH ST
Lawrence, KS 66049
(785) 749-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1174522775
3111 W 6TH ST
Lawrence, KS 66049
(785) 841-5288
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1467682492
3111 W 6TH ST
Lawrence, KS 66049
(785) 749-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1003813809
3111 W 6TH ST
Lawrence, KS 66049
(785) 841-5288
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lawrence Family Vision Clinic P A's NPI number?

The NPI number for Lawrence Family Vision Clinic P A is 1396895009. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is Lawrence Family Vision Clinic P A located?

Lawrence Family Vision Clinic P A is located at 3111 W 6th St, Lawrence, KS 66049. The listed phone number is (785) 749-2020.

What is Lawrence Family Vision Clinic P A's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lawrence Family Vision Clinic P A enrolled in Medicare?

Yes. Lawrence Family Vision Clinic P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lawrence Family Vision Clinic P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Lawrence Family Vision Clinic P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lawrence Family Vision Clinic P A accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 5 other insurers list Lawrence Family Vision Clinic P A as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence Family Vision Clinic P A was last updated on January 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.