Organization Active NPI

Paul M Lampert OD PA

  • Optometrist
  • Russell, KS
National Provider Identifier
1285764167
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1572 Issued in KS
Legal business name
PAUL M LAMPERT OD PA
Practice address
124 East Wichita Avenue
Russell, KS 67665-0568
Phone
(785) 483-2291
Fax
(785) 483-3636
NPI assigned
Mar 7, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Dr. Paul M Lampert, ODNPI 1811027790
Title
Optometrist Owner
Phone
(785) 483-2291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1572 KS Primary

Addresses

Primary practice location

124 East Wichita Avenue
Russell, KS 67665-0568

Mailing address

PO Box 568
Russell, KS 67665-0568
Phone (785) 483-2291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050325000687 KS Part B Supplier - Clinic/Group Practice 5799731345 Receives reassigned benefits from 1 practitioner
Practice locations: Plainville, KS; Russell, KS
O20100930085152 KS DME Supplier - Physician - Optometrist 5799731345 Practice locations: Russell, KS

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Russell124 E Wichita Ave, Russell, KS 67665-2038(785) 483-2291 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since May 31, 2005

National Provider Directory

National Provider Directory

Locations

100 S Main St
Plainville, KS 67663
Phone (785) 434-2074

200 S Jefferson St
Plainville, KS 67663
Phone (785) 434-2074

Practitioners & affiliated clinicians

Practitioners 1

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1285764167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676650568",
            "telephone_number": "785-483-2291",
            "fax_number": "785-483-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 EAST WICHITA AVENUE",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676650568",
            "telephone_number": "785-483-2291",
            "fax_number": "785-483-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M LAMPERT OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "LAMPERT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "785-483-2291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.