Individual provider Active NPI

John Loranger

  • Optician
  • Eagle Point, OR
National Provider Identifier
1225720188
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
11500 Hannon Rd
Eagle Point, OR 97524-9598
Phone
(541) 826-3070
Fax
(541) 826-3080
NPI assigned
May 22, 2023
Last updated
May 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary
Pharmacy Technician 183700000X 6656 OR

Addresses

Primary practice location

11500 Hannon Rd
Eagle Point, OR 97524-9598

Mailing address

11500 Hannon Rd
Eagle Point, OR 97524-9598
Phone (541) 826-3070

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

LicenseStateTypeSpecialty
6656ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1225720188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 HANNON RD",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975249598",
            "telephone_number": "541-826-3070",
            "fax_number": "541-826-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 HANNON RD",
            "city": "EAGLE POINT",
            "state": "OR",
            "postal_code": "975249598",
            "telephone_number": "541-826-3070",
            "fax_number": "541-826-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORANGER",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OR",
            "license": "6656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.