Individual provider Active NPI

Carmon L Lampley-Roberts, OD

  • Optometrist
  • Lufkin, TX
National Provider Identifier
1124182498
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6284TG Issued in TX
Practice address
2 Medical Center Blvd
Lufkin, TX 75904-3173
Phone
(936) 634-8434
Fax
(936) 639-2581
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6284TG TX Primary

Addresses

Primary practice location

2 Medical Center Blvd
Lufkin, TX 75904-3173

Mailing address

2 Medical Center Blvd
Lufkin, TX 75904-3173
Phone (936) 634-8434

Other identifiers 1

IdentifierTypeStateIssuer
185830001MedicaidTX

Other names 1

  • Miss Carmon Leigh Lampley Former name

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
I20070606000658 TX Practitioner - Optometry 3173621653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Center for Sight, PAGroup PAC ID 0345137097, 6 clinicians

Practice addresses (Care Compare)

2 Medical Ctr Blvd
Lufkin, TX 75904-3173
Phone (409) 634-8434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6284TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Sight, PA Optometrist CurrentSince Oct 17, 2011 Accepting new patients
The Center for Sight, PA CurrentSince Oct 17, 2011 Accepting new patients

Locations

2 Medical Center Blvd
Lufkin, TX 75904
Phone (409) 634-8434

Organizations & group practices 2

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1124182498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043173",
            "telephone_number": "936-634-8434",
            "fax_number": "936-639-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL CENTER BLVD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043173",
            "telephone_number": "936-634-8434",
            "fax_number": "936-639-2581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMPLEY-ROBERTS",
        "first_name": "CARMON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6284TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185830001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMON",
            "last_name": "LAMPLEY",
            "middle_name": "LEIGH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.