Individual provider Active NPI

Kiana Marie Lambert, OD

  • Optometrist
  • Grants Pass, OR
National Provider Identifier
1124864095
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4747 Issued in OR
Practice address
1022 NW 6TH St
Grants Pass, OR 97526-1114
Phone
(541) 476-4545
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ATI4747 OR Primary

Addresses

Primary practice location

1022 NW 6TH St
Grants Pass, OR 97526-1114

Mailing address

1022 NW 6TH St
Grants Pass, OR 97526-1114

Other practice location 1

335 Caves Hwy
Cave Junction, OR 97523-9604
Phone (541) 592-3921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240807000317 OR Practitioner - Optometry 5395282446 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ATI4747ORMDOptometrist
4747ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Group of Southern Oregon, LLC Optometrist CurrentSince Jul 24, 2024 Accepting new patients
Eye Care Group of Southern Oregon, LLC Optometrist CurrentSince Jul 24, 2024 Accepting new patients

Locations

335 Caves Hwy
Cave Junction, OR 97523
Phone (503) 592-3921

1022 NW 6th St
Grants Pass, OR 97526
Phone (541) 476-4545

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1124864095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 NW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 NW 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261114",
            "telephone_number": "541-476-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 Caves Hwy",
            "address_purpose": "LOCATION",
            "city": "Cave Junction",
            "state": "OR",
            "postal_code": "975239604",
            "country_code": "US",
            "telephone_number": "541-592-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "KIANA",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.