Individual provider Active NPI

Stephen Gregory Lanier, O.D.

  • Optometrist
  • Weatherford, TX
National Provider Identifier
1083758833
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3961TG Issued in TX
Practice address
150 College Park Dr
Weatherford, TX 76086-6212
Phone
(817) 594-2311
Fax
(817) 599-3461
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3961TG TX Primary

Addresses

Primary practice location

150 College Park Dr
Weatherford, TX 76086-6212

Mailing address

150 College Park Dr
Weatherford, TX 76086-6212
Phone (817) 594-2311

Other identifiers 1

IdentifierTypeStateIssuer
917355OtherTXBLOCK VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110304000169 TX Practitioner - Optometry 2466565932 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3961TXMDBehavioral Analyst
3961TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen G. Lanier, O.D., P.C. Optometrist CurrentSince Sep 30, 1997 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jul 28, 2022 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

150 College Park Dr
Weatherford, TX 76086
Phone (817) 594-2311

1829 Martin Dr
Ste 200
Weatherford, TX 76086
Phone (817) 594-2311

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1083758833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 COLLEGE PARK DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866212",
            "telephone_number": "817-594-2311",
            "fax_number": "817-599-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COLLEGE PARK DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866212",
            "telephone_number": "817-594-2311",
            "fax_number": "817-599-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "STEPHEN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3961TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "917355",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.