Individual provider Active NPI

Dennis P Lauck, OD

  • Optometrist
  • Carmel, IN
National Provider Identifier
1376675777
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
IN18002012 Issued in IN
Practice address
30 1St St SW
Carmel, IN 46032-2102
Phone
(317) 848-9081
Fax
(317) 848-9083
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IN18002012 IN Primary

Addresses

Primary practice location

30 1St St SW
Carmel, IN 46032-2102

Mailing address

30 1St St SW
Carmel, IN 46032-2102
Phone (317) 848-9081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IN18002012INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lauck & McLean P C Optometrist PastSince Nov 16, 2010 Accepting new patients
DRS. Lauck and McLean Optometrist Past Accepting new patients
Jeremy Ciano, PC Optometrist PastSince May 25, 2014 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376675777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 1ST ST SW",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322102",
            "telephone_number": "317-848-9081",
            "fax_number": "317-848-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 1ST ST SW",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322102",
            "telephone_number": "317-848-9081",
            "fax_number": "317-848-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUCK",
        "first_name": "DENNIS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "IN18002012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.