Active NPI
Lanny Lee McCormick, O.D.
- Optometrist
- Grand Junction, CO
National Provider Identifier
1205916640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 788
- Practice address
- 1316 North Ave
Grand Junction, CO 81501-6419 - Phone
- (970) 245-6828
- Fax
- (970) 243-4046
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 788 | CO | Primary |
Addresses
Primary practice location
1316 North Ave
Grand Junction, CO 81501-6419
Mailing address
487 Seasons CT
Grand Junction, CO 81503-9714
Phone (970) 256-1873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 788 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Optical Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Grand Junction, CO
- NPI 1134503352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205916640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 SEASONS CT",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815039714",
"telephone_number": "970-256-1873",
"fax_number": "970-256-1873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 NORTH AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016419",
"telephone_number": "970-245-6828",
"fax_number": "970-243-4046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "LANNY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.