MEDICARE: TERRY L LAWSON MS OD PLLC

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	152WC0802X	Corneal and Contact Management Optometrist	1165	OK
2	152WL0500X	Low Vision Rehabilitation Optometrist	1165	OK
3	152WX0102X	Occupational Vision Optometrist	1165	OK
4	152WP0200X	Pediatric Optometrist	1165	OK
5	152WS0006X	Sports Vision Optometrist	1165	OK
6	152WV0400X	Vision Therapy Optometrist	1165	OK
7	152W00000X	Optometrist	1167	OK
8	152W00000X	Optometrist	2381	OK
9	152WC0802X	Corneal and Contact Management Optometrist	2381	OK
10	152WL0500X	Low Vision Rehabilitation Optometrist	2381	OK
11	152WX0102X	Occupational Vision Optometrist	2381	OK
12	152WP0200X	Pediatric Optometrist	2381	OK
13	152WS0006X	Sports Vision Optometrist	2381	OK
14	152WV0400X	Vision Therapy Optometrist	2381	OK
15	152W00000X	Optometrist	1165	OK

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

General Provider Information

NPI Number	:	1508055963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERRY L LAWSON MS OD PLLC

Provider Business Mailing Address
First Line	:	9102 S TOLEDO AVE
Second Line	:	SUITE A
City	:	TULSA
State	:	OK
Zip	:	74137-2706
Country	:	US
Telephone Number	:	918-742-2055
Fax Number	:

Provider Business Practice Location Address
First Line	:	9102 S TOLEDO AVE
Second Line	:	SUITE A
City	:	TULSA
State	:	OK
Zip	:	74137-2706
Country	:	US
Telephone Number	:	918-742-2055
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. TERRY LARMON LAWSON
Credential	:	O.D.
Telephone Number	:	918-742-2055

Provider Enumeration Date	:	10/22/2007
Last Update Date	:	05/05/2009

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