Benjamin Clarence Lane, OD, MPH, FAAO, FACN

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

27OA263500 Issued in NJ

Practice address

16 N Beverwyck Rd
Lake Hiawatha, NJ 07034-2502

Phone

(973) 335-0111

Fax

(973) 541-1649

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1958

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• My Ophthalmologist, P.C.

  • Ophthalmology Physician
  • New York, NY
  • NPI 1932279213
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1164465167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N BEVERWYCK RD",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342502",
            "telephone_number": "973-335-0111",
            "fax_number": "973-335-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N BEVERWYCK RD",
            "city": "LAKE HIAWATHA",
            "state": "NJ",
            "postal_code": "070342502",
            "telephone_number": "973-335-0111",
            "fax_number": "973-541-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "BENJAMIN",
        "middle_name": "CLARENCE",
        "name_prefix": "Dr.",
        "credential": "OD, MPH, FAAO, FACN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA263500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James V. Galiano III, DMD LLC
• Julie James, DDS
• James Clifford Johnson, OTA
• Rupinder Kang, RDN
• Taylar Lynn Kelly, LCSW
• Ashley Vanessa Luna
• Miriam R Maher, M.D.
• Elizabeth Matheis, PHD
• Me and Him
• Miriam Maher MD LLC

• Vision Therapy Optometrist in Lake Hiawatha, NJ
• Providers in Lake Hiawatha, NJ by specialty
• Vision Therapy Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.