NPIMap

Organization Active NPI

J Martin Lane Eyecare Center

  • Optometrist
  • Princeton, KY
National Provider Identifier
1386378339
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
J MARTIN LANE EYECARE CENTER
Practice address
101 E Shepardson St
Princeton, KY 42445-1633
Phone
(270) 365-6627
Fax
(270) 365-7700
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Dr. Jennifer Jo Martin Lane, O.D.NPI 1932381654
Title
Owner/Optometrist
Phone
(931) 980-1194

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

101 E Shepardson St
Princeton, KY 42445-1633

Mailing address

PO Box 683
Princeton, KY 42445-0683
Phone (270) 365-6627

Other names 1

  • Eyecare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230215001023 KY Part B Supplier - Clinic/Group Practice 5991177297 Receives reassigned benefits from 2 practitioners
Practice locations: Princeton, KY

National Provider Directory

National Provider Directory

Locations

101 E Shepardson St
Princeton, KY 42445
Phone (270) 365-6627

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1386378339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 683",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424450683",
            "telephone_number": "270-365-6627",
            "fax_number": "270-365-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E SHEPARDSON ST",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424451633",
            "telephone_number": "270-365-6627",
            "fax_number": "270-365-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MARTIN LANE EYECARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "MARTIN LANE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "931-980-1194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.