Provider Demographics
NPI:1952483596
Name:LAWYER, JOHN C (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:C
Last Name:LAWYER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4023 E SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-0215
Mailing Address - Country:US
Mailing Address - Phone:702-454-9664
Mailing Address - Fax:702-454-6339
Practice Address - Street 1:4023 E SUNSET RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-0215
Practice Address - Country:US
Practice Address - Phone:702-454-9664
Practice Address - Fax:702-454-6339
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV254152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVU16361Medicare UPIN
0991970001Medicare NSC
VOD254Medicare PIN