Lanny F Duclos, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1138799934 Issued in UT

Practice address

88 E 700 N
Ste a
Tooele, UT 84074-1817

Phone

(435) 882-6452

Fax

(435) 882-3170

NPI assigned

Mar 31, 2006

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lanny F Duclos OD PCGroup PAC ID 0547363822, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lanny F Duclos OD PC

  dba Eye Health Professionals

  • Optometrist
  • Tooele, UT
  • NPI 1972685402
  Medicare reassignment Care Compare group NPD Authorized official
• Kris a Hill OD PC

  dba Eyecare Associates

  • Optometrist
  • Midvale, UT
  • NPI 1649477514
  NPD (past)
• Wendover Eye Care, Inc

  • Optometrist
  • Wendover, UT
  • NPI 1447340799
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1508827262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E 700 N",
            "address_2": "STE A",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741817",
            "telephone_number": "435-882-6452",
            "fax_number": "435-882-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E 700 N",
            "address_2": "STE A",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741817",
            "telephone_number": "435-882-6452",
            "fax_number": "435-882-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCLOS",
        "first_name": "LANNY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "1138799934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Antoni Douglas, D.O.
• Suzette Dow
• Juliet Dowdle, MFT
• Sarah Rebecca Droubay, LMFT
• Eva Duarte, BHCM
• Daniel Duggleby, MD
• Lynn Keyth Durham
• Navidt Duron-Loera
• Jeffrey Davis Durrant
• Gordon Walter Duval, DO

• Optometrist in Tooele, UT
• Providers in Tooele, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.