Lance Engdahl Eye Care S.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2711-35 Issued in WI

Legal business name

LANCE ENGDAHL EYE CARE S.C.

Practice address

6658 Odana Rd
Madison, WI 53719-1012

Phone

(608) 829-3937

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Lance Edward Engdahl, O.D.

Title

President

Phone

(262) 853-2664

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1285048322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E LAKESIDE ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152028",
            "telephone_number": "262-853-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6658 ODANA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191012",
            "telephone_number": "608-829-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCE ENGDAHL EYE CARE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "ENGDAHL",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-853-2664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2711-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin C Lampada, M.S. CCC-SLP
• Isabel Catherine Lampre
• Rebecca Lamson Nitsche, C.P.O.
• Cara Margaret Lamusga
• Lancaster Afh LLC
• Erica E Lancour, LPC
• Elissa Landau, CCC-SLP
• Gerald Landau, LAC
• Isabel Landau, RYT
• Michael G Landgraf, CRNA

• Optometrist in Madison, WI
• Providers in Madison, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.