National Provider Identifier
Lawrence John Waite, O.D.
Lawrence John Waite, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Elmira, NY and a listed phone number of (607) 733-2694.
Profile Overview
- NPI
- 1578561122
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- July 08, 2005
- Last Updated
- November 06, 2007
Practice Location
- 382 W Church St
- Elmira, NY 14901-2621
Phone: (607) 733-2694
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1578561122
- Entity Type
- Individual
- Last Name
- Waite
- First Name
- Lawrence
- Middle Name
- John
- Name Prefix
- Dr.
- Credential
- O.D.
- Mailing Street Address
- 382 W Church St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-2621
- Mailing Country
- US
- Mailing Phone
- (607) 733-2694
- Mailing Fax
- (607) 733-1139
- Practice Street Address
- 382 W Church St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2621
- Practice Country
- US
- Practice Phone
- (607) 733-2694
- Practice Fax
- (607) 733-1139
- Enumeration Date
- July 08, 2005
- Last Updated
- November 06, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)
- Other Identifiers
- OVS71 (NY, Bc&Bs)