Individual provider Active NPI

James Cureton Lanier IV, OD

  • Optometrist
  • Jacksonville, FL
National Provider Identifier
1538100607
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1759 Issued in FL
Practice address
7077 Normandy Blvd Ste 7
Jacksonville, FL 32205-6294
Phone
(904) 781-7717
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1759 FL Primary

Addresses

Primary practice location

7077 Normandy Blvd Ste 7
Jacksonville, FL 32205-6294

Mailing address

806 Riverside Ave
Suite 100
Jacksonville, FL 32204-3337
Phone (904) 356-7101

Other practice location 1

806 Riverside Ave
Suite 100
Jacksonville, FL 32204-3337
Phone (904) 356-7101

Other identifiers 2

IdentifierTypeStateIssuer
20125AOtherBCBS
20125OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090814000557 FL Practitioner - Optometry 9335293059 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1759FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince May 2, 2016 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince May 2, 2016 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
DRS. Wood Lanier and Bowman, PA Optometrist PastSince Dec 16, 1996 Accepting new patients

Locations

2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213

9560 Crosshill Blvd
Ste 106
Jacksonville, FL 32222
Phone (904) 777-2927

806 Riverside Ave
Ste 100
Jacksonville, FL 32204
Phone (904) 356-7101

7077 Normandy Blvd
Ste 7
Jacksonville, FL 32205
Phone (904) 781-7717

28 Blanding Blvd
Orange Park, FL 32073
Phone (904) 264-5483

212 State Road 312
St Augustine, FL 32086
Phone (904) 824-2021

450 State Road 13 N
Ste 107
St Johns, FL 32259
Phone (904) 287-3387

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1538100607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 RIVERSIDE AVE",
            "address_2": "SUITE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043337",
            "telephone_number": "904-356-7101",
            "fax_number": "904-356-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7077 NORMANDY BLVD STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056294",
            "telephone_number": "904-781-7717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 Riverside Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322043337",
            "country_code": "US",
            "telephone_number": "904-356-7101",
            "fax_number": "904-356-7947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANIER",
        "first_name": "JAMES",
        "middle_name": "CURETON",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20125A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.