NPIMap

Organization Active NPI

Lansing Ophthalmology, P.C.

  • Optometrist
  • East Lansing, MI
National Provider Identifier
1265415301
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LANSING OPHTHALMOLOGY, P.C.
Practice address
2001 Coolidge Rd
East Lansing, MI 48823-1378
Phone
(517) 337-1668
Fax
(517) 337-1779
NPI assigned
Nov 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Donald Shook
Title
Executive Director
Phone
(517) 337-1899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2001 Coolidge Rd
East Lansing, MI 48823-1378

Mailing address

1005 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-8186
Phone (517) 337-1668

Other identifiers 2

IdentifierTypeStateIssuer
CE4235OtherMIRAILROAD MEDICARE
900C363570OtherMIBCBSM

Other names 1

  • LO Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121000456 MI Part B Supplier - Clinic/Group Practice 9335041409 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mt Pleasant, MI; Okemos, MI; Grand Ledge, MI; Howell, MI; East Lansing, MI; Battle Creek, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lansing Ophthalmology PC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 11

Organizations listed as members of this organization in the National Provider Directory.

Locations

1321 Pine Ave
#L
Alma, MI 48801
Phone (989) 463-1139

124 S Cochran Ave
#L
Charlotte, MI 48813
Phone (517) 543-9899

2001 Coolidge Rd
#L
East Lansing, MI 48823
Phone (517) 337-1668

136 E Grand River Ave
#L
Fowlerville, MI 48836
Phone (517) 223-9988

1536 Haslett Rd
Haslett, MI 48840
Phone (517) 339-4100

1170 Jordan Lake St
#L
Lake Odessa, MI 48849
Phone (616) 374-3284

830 W Michigan Ave
#L
Marshall, MI 49068
Phone (269) 781-9822

2865 S Lincoln Rd
Mt Pleasant, MI 48858
Phone (989) 773-7747

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1265415301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CHARLEVOIX DR STE 100",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378186",
            "telephone_number": "517-337-1668",
            "fax_number": "517-622-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231378",
            "telephone_number": "517-337-1668",
            "fax_number": "517-337-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSING OPHTHALMOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "517-337-1899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE4235",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "900C363570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LO Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.