NPIMap

Organization Active NPI

Mark Lanier OD PC

Doing business as Nacogdoches Eye Associates

  • Optometrist
  • Nacogdoches, TX
National Provider Identifier
1235262163
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
03357TG Issued in TX
Legal business name
MARK LANIER OD PC
Doing business as
Nacogdoches Eye Associates
Practice address
3208 N University Dr
Nacogdoches, TX 75965-2633
Phone
(936) 564-7661
Fax
(936) 564-6622
NPI assigned
Mar 13, 2007
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Mark R Lanier, OD
Title
Owner
Phone
(936) 564-7661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 03357TG TX Primary

Addresses

Primary practice location

3208 N University Dr
Nacogdoches, TX 75965-2633

Mailing address

PO Box 632600
Nacogdoches, TX 75963-2600
Phone (936) 564-7661

Other identifiers 4

IdentifierTypeStateIssuer
0228470001OtherTXMEDICARE DME JURISDICTION C
00000099FAOtherTXBCBS
DA0550OtherTXRAILROAD MEDICARE
164994901MedicaidTX

Other names 1

  • Nacogdoches Eye Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1235262163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632600",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759632600",
            "telephone_number": "936-564-7661",
            "fax_number": "936-564-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652633",
            "telephone_number": "936-564-7661",
            "fax_number": "936-564-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LANIER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-564-7661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03357TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME JURISDICTION C",
            "identifier": "0228470001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00000099FA",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA0550",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164994901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nacogdoches Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.