Active NPI
Lo Optical, LLC
Doing business as L O Optical
- Eyewear Supplier
- Okemos, MI
National Provider Identifier
1104363951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- LO OPTICAL, LLC
- Doing business as
- L O Optical
- Practice address
- 5100 Marsh Rd Ste H
Okemos, MI 48864-1195 - Phone
- (517) 349-0150
- Fax
- (517) 349-0157
- NPI assigned
- Jan 31, 2017
- Last updated
- Aug 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Shook
- Title
- Executive Director
- Phone
- (517) 337-1899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
5100 Marsh Rd Ste H
Okemos, MI 48864-1195
Mailing address
1005 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-8186
Phone (517) 337-1668
Other names 1
- L O Optical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191122000861 | MI | DME Supplier - Optician | 3678782323 | Practice locations: Okemos, MI |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lo Eye Care | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Lo Optical LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Battle Creek, MI
- NPI 1548743537
-
- Eyewear Supplier
- Marshall, MI
- NPI 1639633431
-
- Eyewear Supplier
- East Lansing, MI
- NPI 1831145317
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
702 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 332-5342
5100 Marsh Rd
Okemos, MI 48864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722988800000",
"number": "1104363951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 CHARLEVOIX DR STE 100",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488378186",
"telephone_number": "517-337-1668",
"fax_number": "517-622-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 MARSH RD STE H",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488641195",
"telephone_number": "517-349-0150",
"fax_number": "517-349-0157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LO OPTICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-31",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A",
"authorized_official_last_name": "SHOOK",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "517-337-1899"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "L O Optical",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "L O Optical",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.