Individual provider Active NPI

Kate Lanier, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1073708806
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2063 Issued in NC
Practice address
8320 University Exec Park Dr
Suite 100
Charlotte, NC 28262-1338
Phone
(704) 295-0123
NPI assigned
Sep 14, 2007
Last updated
Sep 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2063 NC Primary

Addresses

Primary practice location

8320 University Exec Park Dr
Suite 100
Charlotte, NC 28262-1338

Mailing address

12105 Copper Way
Suite 100
Charlotte, NC 28277-1756
Phone (704) 295-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20171031003006 FL Practitioner - Optometry 0345315354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Source Oviedo, IncGroup PAC ID 3375574429, 4 clinicians
Vision Source Maitland, LLCGroup PAC ID 8921545369, 4 clinicians

Practice addresses (Care Compare)

1020 Lockwood Blvd
Oviedo, FL 32765-6027
Phone (407) 971-1001

238 S Orlando Ave
Maitland, FL 32751-5604
Phone (407) 971-1001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Source Maitland, LLC Optometrist CurrentSince Nov 1, 2017 Accepting new patients
Vision Source Maitland, LLC Optometrist CurrentSince Feb 20, 2025 Accepting new patients
Vision Source Maitland, LLC Optometrist CurrentSince Feb 20, 2025 Accepting new patients
Carolina Family Eye Care of Ballantyne, OD, PLLC Optometrist PastSince Sep 1, 2007 Accepting new patients
Vision Source Maitland, LLC PastSince Apr 6, 2025 Accepting new patients
Carolina Family Eye Care OD PLLC Optometrist PastSince Mar 1, 2003 Accepting new patients

Locations

238 S Orlando Ave
Maitland, FL 32751
Phone (407) 971-1001

1020 Lockwood Blvd
Oviedo, FL 32765
Phone (407) 971-1001

1305 Tree Swallow Dr
Winter Springs, FL 32708
Phone (407) 971-1001

Interoperability endpoints

  • Direct secure messaging: kate.lanier@direct.revolutionehr.com

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1073708806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 COPPER WAY",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771756",
            "telephone_number": "704-295-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621338",
            "telephone_number": "704-295-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "KATE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.