Individual provider Active NPI

Brian Jay Lankford, O.D.

  • Optometrist
  • Tarboro, NC
National Provider Identifier
1477531796
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1305 Issued in NC
Practice address
807 Western Blvd
Tarboro, NC 27886-4014
Phone
(252) 823-3202
Fax
(252) 641-5087
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1305 NC Primary

Addresses

Primary practice location

807 Western Blvd
Tarboro, NC 27886-4014

Mailing address

807 Western Blvd
Tarboro, NC 27886-4014
Phone (252) 823-3202

Other identifiers 2

IdentifierTypeStateIssuer
8909278MedicaidNC
09278OtherNCBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090507000660 NC Practitioner - Optometry 1658429279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

807 Western Blvd
Tarboro, NC 27886-4014
Phone (252) 823-3202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1305NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian J Lankford OD PA Optometrist CurrentSince Sep 1, 1994 Accepting new patients

Locations

807 Western Blvd
Tarboro, NC 27886
Phone (252) 823-3202

Organizations & group practices 1

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1477531796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WESTERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864014",
            "telephone_number": "252-823-3202",
            "fax_number": "252-641-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 WESTERN BLVD",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864014",
            "telephone_number": "252-823-3202",
            "fax_number": "252-641-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKFORD",
        "first_name": "BRIAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909278",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "09278",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarboro, NC

Sources for this page

Verify at the official NPI Registry.