Lane Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2030 Issued in NC

Legal business name

LANE OPTOMETRY, PLLC

Practice address

1345 Western Blvd Ste 120B
Jacksonville, NC 28546-7627

Phone

(910) 376-8229

Fax

(910) 937-0020

NPI assigned

Nov 6, 2011

Last updated

Nov 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Lane, O.D.NPI 1235270174

Title

Owner

Phone

(910) 508-4127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 6

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.

• Justin David Lane, O.D.

  • Optometrist
  • Jacksonville, NC
  • NPI 1235270174
  Medicare reassignment Care Compare group NPD Authorized official
• Keitha Ann Covalla, O.D.

  • Optometrist
  • New Bern, NC
  • NPI 1124023221
  Medicare reassignment Care Compare group NPD
• Gail Joslin Kelley, OD

  • Optometrist
  • Wilmington, NC
  • NPI 1548596356
  Medicare reassignment Care Compare group NPD
• Amber Parham, OD

  • Optometrist
  • Jacksonville, NC
  • NPI 1912357708
  Medicare reassignment Care Compare group NPD
• Rasika Khatu Whitesell, O.D.

  • Optometrist
  • Wilmington, NC
  • NPI 1750717336
  Medicare reassignment Care Compare group NPD
• Samantha Price

  • Optometrist
  • St Augustine, FL
  • NPI 1538511993

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480204800000",
    "number": "1356628283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WYNDHAM WAY",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284116710",
            "telephone_number": "910-508-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 WESTERN BLVD STE 120B",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467627",
            "telephone_number": "910-376-8229",
            "fax_number": "910-937-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-06",
        "last_updated": "2016-11-27",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-508-4127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Landholt, DPT
• Taylor Jane Landis, PA-C
• Erin Kathleen Landry
• Lane and Associates Xli DDS PA
• Lane and Associates Xliii DDS PA
• Justin David Lane, O.D.
• Lindsay Elizabeth Lane
• Vicki Darleen Lane, MSW, LCSWA
• Elizabeth Marie Langill
• William Wade Langley II, PHARMD

• Optometrist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.