Paul Lallande, OD, PC, Doctor of Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000220 Issued in VA

Legal business name

PAUL LALLANDE, OD, PC, DOCTOR OF OPTOMETRY

Practice address

125 Suffolk Ave
Richlands, VA 24641-2434

Phone

(276) 963-0808

Fax

(276) 963-7538

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Clerc Lallande

Title

Secretary-Treasurer

Phone

(276) 963-0808

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1225155229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SUFFOLK AVE",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412434",
            "telephone_number": "276-963-0808",
            "fax_number": "276-963-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SUFFOLK AVE",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412434",
            "telephone_number": "276-963-0808",
            "fax_number": "276-963-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL LALLANDE, OD, PC, DOCTOR OF OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "LALLANDE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CLERC",
        "authorized_official_title_or_position": "SECRETARY-TREASURER",
        "authorized_official_telephone_number": "276-963-0808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009203567",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "021335",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• In Young Park, MD
• Binita Dilip Patel, MD
• Minaben Dilipkumar Patel, M.D.
• Kathy Marie Patrick
• Anna Barbette Patton, CERTIFIED, WHNP
• Hao Duy Pham, M.D.
• Jose Manuel Piriz, MD
• Toeya Rivera Piriz, MD
• Fallon Poole, QMHP-T
• Sally T. Presnell, REGISTERED DIETITIAN

• Optometrist in Richlands, VA
• Providers in Richlands, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.