LT Lantz Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1086 Issued in OK

Legal business name

LT LANTZ INC

Practice address

1105 S Main St
Grove, OK 74344-2801

Phone

(918) 786-2254

Fax

(918) 786-2114

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly D Nixon

Title

Assistant

Phone

(918) 786-2254

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1457413569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450729",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743450729",
            "telephone_number": "918-786-2254",
            "fax_number": "918-786-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S MAIN ST",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442801",
            "telephone_number": "918-786-2254",
            "fax_number": "918-786-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LT LANTZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "918-786-2254",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200087250A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie D Londagin, CCC-SLP
• Kelly Patricia Long, APRN, CPNP
• Tessa Lynn Longan, APRN-CNP
• Michaela Lovejoy, OTR/L
• Kelli Lee Lowry
• Patricia Major
• Jennifer Mallory, LMSW
• Michele Marquis
• Jamie Michell Martin
• Megan Martin, DPM

• Optometrist in Grove, OK
• Providers in Grove, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.