MEDICARE: JOHN C. LAWYER O.D., LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	254	NV

General Provider Information

NPI Number	:	1457678765
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN C. LAWYER O.D., LTD.

Provider Business Mailing Address
First Line	:	4023 E SUNSET RD
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-0215
Country	:	US
Telephone Number	:	702-454-9664
Fax Number	:	702-454-6338

Provider Business Practice Location Address
First Line	:	4023 E SUNSET RD
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89014-0215
Country	:	US
Telephone Number	:	702-454-9664
Fax Number	:	702-454-6338

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOHN CHARLES LAWYER
Credential	:	O.D.
Telephone Number	:	702-454-9664

Provider Enumeration Date	:	04/26/2010
Last Update Date	:	04/26/2010

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