Individual provider Active NPI

Eric W Lamp, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1285605618
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1379-3 Issued in KS
Practice address
1202 W Maple St
Wichita, KS 67213-3916
Phone
(316) 262-3716
Fax
(316) 262-0784
NPI assigned
Feb 1, 2006
Last updated
Aug 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1379-3 KS Primary

Addresses

Primary practice location

1202 W Maple St
Wichita, KS 67213-3916

Mailing address

1202 W Maple St
Wichita, KS 67213-3916
Phone (316) 262-3716

Other identifiers 1

IdentifierTypeStateIssuer
005347OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601001071 KS Practitioner - Optometry 8426091315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Wichita Family OptometristsGroup PAC ID 0749181584, 6 clinicians

Practice addresses (Care Compare)

1202 W Maple St
Wichita, KS 67213-3916
Phone (316) 262-3716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12322KSMDSocial Worker
1379-3KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Wichita Family Optometrists Optometrist CurrentSince Dec 9, 1996 Accepting new patients

Locations

318 N Main St
Goddard, KS 67052
Phone (316) 794-2228

1202 W Maple St
Wichita, KS 67213
Phone (316) 262-3716

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1285605618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133916",
            "telephone_number": "316-262-3716",
            "fax_number": "316-262-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133916",
            "telephone_number": "316-262-3716",
            "fax_number": "316-262-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMP",
        "first_name": "ERIC",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1379-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "005347",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.