# MARY ANN LAVERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720018070
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35-04-1201 | OH | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 07/14/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000374414 | UNICARE | ID |
| 01 | — | 000000656327 | ANTHEM BLUE CROSS | OH |
| 01 | — | 08-01054 | UNITED HEALTHCARE | OH |
| 05 | — | 3053574 | — | OH |
| 01 | — | 53491 | QUALCHOICE | OH |
| 01 | — | 5683020001 | D M E R C/MEDICARE | OH |
| 01 | — | 800519742052 | CARESOURCE | OH |