Provider Demographics
NPI:1801840087
Name:LAUER VISION INC.
Entity Type:Organization
Organization Name:LAUER VISION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAUER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:304-422-1841
Mailing Address - Street 1:2014 DUDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3405
Mailing Address - Country:US
Mailing Address - Phone:304-422-1841
Mailing Address - Fax:304-422-1841
Practice Address - Street 1:2014 DUDLEY AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3405
Practice Address - Country:US
Practice Address - Phone:304-422-1841
Practice Address - Fax:304-422-1841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV969-OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV51703-001OtherDAVIS VISION
WV6056863002OtherCIGNA
WV001716742OtherBCBS
WVWV969OtherCARELINK & HEALTH PLAN
WV6300064000Medicaid
WV0889863Medicare ID - Type Unspecified
WV001716742OtherBCBS
WVWV969OtherCARELINK & HEALTH PLAN