MEDICARE: DR. JAMIE SUE LAWSON OD

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	152W00000X	Optometrist	OP2690	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	45436	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1780799411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMIE SUE LAWSON OD

Provider Business Mailing Address
First Line	:	5632 26TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207
Country	:	US
Telephone Number	:	941-751-4668
Fax Number	:	941-751-4809

Provider Business Practice Location Address
First Line	:	5632 26TH ST W
Second Line	:
City	:	BRADENTON
State	:	FL
Zip	:	34207
Country	:	US
Telephone Number	:	941-751-4668
Fax Number	:	941-751-4809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	01/08/2026

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