Joey Lynn Lane, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OGE000013 Issued in PA

Practice address

182 Buchanan Trail
Suite 185
McConnellsburg, PA 17233-8261

Phone

(717) 485-4434

Fax

(717) 485-9407

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joey L. Lane Optometrist, Inc.

  • Optometrist
  • McConnellsburg, PA
  • NPI 1225216922
  Medicare reassignment NPD Authorized official
• Paul B Macdonald'S Pharmacy Inc

  • Community/Retail Pharmacy
  • MC Connellsburg, PA
  • NPI 1215082474
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1043203409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "MC CONNELLSBURG",
            "state": "PA",
            "postal_code": "172330697",
            "telephone_number": "717-485-4434",
            "fax_number": "717-485-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 BUCHANAN TRAIL",
            "address_2": "SUITE 185",
            "city": "MCCONNELLSBURG",
            "state": "PA",
            "postal_code": "172338261",
            "telephone_number": "717-485-4434",
            "fax_number": "717-485-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JOEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OGE000013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014884720003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50075089",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abagael Marie Boehme, PA-C
• Steven S Cohen, MD
• Daley Family Eye Care PC
• Carrie Dawn Deshong, PA
• Joey L. Lane Optometrist, Inc.
• Jordan Alexis Pine, MOT, OTR/L
• SVM3 Pharma Inc
• Tri-State Community Health Center, Inc
• William L Milroth MD
• Joseph G Wolfe, DDS

• All providers in McConnellsburg, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.