LAWRENCE M IRENE (O.D.) – Optometrist, NPI 1174644710

LAWRENCE M IRENE (O.D.) is a healthcare provider. based in Tempe, Arizona. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 811 (AZ). The NPI Number for LAWRENCE M IRENE (O.D.) is 1174644710

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
LAWRENCE M IRENE (O.D.)
NPI
1174644710
Phone
(480) 820-3813
Address
5000 S ARIZONA MILLS CIR STE 165
Enumeration Date
2 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4804788588
Graduation Year
1982 (44 years ago)
PAC ID
5799855334
Group Practice PAC ID
8729128889
Professional Enrollment ID
I20080609000295
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for LAWRENCE M IRENE (O.D.)

  • 5000 S ARIZONA MILLS CIR STE 165

    TEMPE, AZ 852826417

    Phone: (480) 820-3813

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $189.

Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: CooperVision Inc. ($189).

Total Amount

$189

General + Research + Ownership

Payments

3

Total payment records

General Amount

$189

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$189
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-09

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080609000295IOptometryAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85282)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729128889View full group profile
NameSpecialtyState
O P T O M E T R YAZ
O P T O M E T R YAZ
-AZ
O P T O M E T R YCA
O P T O M E T R YAZ

Reviews

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Frequently asked questions

Is there an official ID for LAWRENCE M IRENE (O.D.) in U.S. healthcare records?
The official identifier for LAWRENCE M IRENE (O.D.) is NPI 1174644710.
Is there an active status for LAWRENCE M IRENE (O.D.)?
For scheduling context, LAWRENCE M IRENE (O.D.) is shown as active in the registry.
What expertise is attributed to LAWRENCE M IRENE (O.D.)?
LAWRENCE M IRENE (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Arizona is LAWRENCE M IRENE (O.D.) registered?
Use Tempe, Arizona as the headline location for LAWRENCE M IRENE (O.D.) here.
When was this NPI issued?
Enumeration for LAWRENCE M IRENE (O.D.) is noted as April 2, 2007 where the registry provides it.

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