Mark Wayne Lantz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

171851 Issued in AK

Practice address

2555 Phillips Field Rd
Fairbanks, AK 99709-3933

Phone

(907) 328-2980

Fax

(907) 456-2914

NPI assigned

Apr 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, AK2 enrollments

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 2

Specialty

Optometry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wolf Eye Center, Inc.Group PAC ID 7012032949, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.74 of 100Reported as group

Quality

88.73

Promoting interoperability

100

Improvement activities

40

Cost

77.08

Merit-based Incentive Payment System (MIPS)

Final score

70.09 of 100Reported as group

Quality

40

Improvement activities

40

Cost

80.32

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mlantz@nwes.intellechartdirect.net
• Direct secure messaging: mlantz@wolfeye.intellechartdirect.net

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

• Wolf Eye Center, Inc.

  • Ophthalmology Physician
  • Wasilla, AK
  • NPI 1063740363

  AK, Optometrist

  Medicare reassignment Care Compare group NPD
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Fairbanks, AK
  • NPI 1073271565

  AK, Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Kentucky, PLLC

  • Optometrist
  • Cold Spring, KY
  • NPI 1255990966

  KY, Optometrist

  Medicare reassignment NPD
• Myeyedr Optometry of Kentucky, PLLC

  • Optometrist
  • Lexington, KY
  • NPI 1265399620
  NPD
• Myeyedr Optometry of Kentucky, PLLC

  • Optometrist
  • Newport, KY
  • NPI 1538727508
  NPD
• Sight Partners Physicians PC

  • Multi-Specialty Clinic/Center
  • Colville, WA
  • NPI 1801781802
  NPD
• Sight Partners Physicians, P.C.

  • Ophthalmology Physician
  • Seattle, WA
  • NPI 1689674517

  Optometrist

  NPD
• Alaska Center for the Blind and Visually Impaired

  • Optometrist
  • Anchorage, AK
  • NPI 1942383823
  NPD (past)

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1295909398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PHILLIPS FIELD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093933",
            "telephone_number": "907-328-2980",
            "fax_number": "907-456-2914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 PHILLIPS FIELD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093933",
            "telephone_number": "907-328-2980",
            "fax_number": "907-456-2914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "142 Pavilion Pkwy",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "KY",
            "postal_code": "410712884",
            "country_code": "US",
            "telephone_number": "589-291-9464",
            "fax_number": "859-291-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "MARK",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1934DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004481",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "171851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "900A210610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Lee Lankford, M.A.
• Diana Irene Lanni
• Emilianne Lansdown, BSW
• Jeffrey M Lansing, LPC
• Danica Maleine Lantz, OD
• Andrew Anthony Lara
• Christina C Lara, L.P.N
• Sandra Kay Lara, FP
• Jacalyn Larango
• Elena Larranaga, PA-C

• Optometrist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.