Lakeland Optical, LLP

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

C08463429 Issued in MS

Legal business name

LAKELAND OPTICAL, LLP

Practice address

3000 Old Canton Rd
Suite 100
Jackson, MS 39216-4200

Phone

(601) 982-9477

Fax

(601) 982-4401

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Windell Lee Lewis

Title

Manager

Phone

(601) 982-9477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Thomas Hargrave Cabell, M. D.

  • Ophthalmology Physician
  • Jackson, MS
  • NPI 1629181425
  NPD
• A Terrel Williams, MD

  • Ophthalmology Physician
  • Jackson, MS
  • NPI 1568431963
  NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1265581599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OLD CANTON RD",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164200",
            "telephone_number": "601-982-9477",
            "fax_number": "601-982-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OLD CANTON RD",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164200",
            "telephone_number": "601-982-9477",
            "fax_number": "601-982-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND OPTICAL, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "WINDELL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-982-9477"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MS",
            "license": "C08463429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Lake, LCSW
• Joseph Robert Lake, MD
• Lakeland Counseling Associates, LLC
• Lakeland Dental Care PA
• Lakeland Drive Counseling, LLC
• Lakeland Radiologists P a
• Lakeland Surgical Clinic PLLC
• Lane S. Laken, MD
• Jean Maloney Lalor, M.A., CCC-SLP
• Ernest Moses Lam, MD

• Eyewear Supplier in Jackson, MS
• Providers in Jackson, MS by specialty
• Eyewear Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.