Individual provider Active NPI

Lara Orton, O.D.

  • Optometrist
  • Pulaski, TN
National Provider Identifier
1538242003
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2165 Issued in TN
Practice address
1000 East College Street
Pulaski, TN 38478-0595
Phone
(931) 363-6147
Fax
(931) 363-6155
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2165 TN Primary

Addresses

Primary practice location

1000 East College Street
Pulaski, TN 38478-0595

Mailing address

PO Box 595
Pulaski, TN 38478-0595
Phone (931) 363-6147

Other identifiers 2

IdentifierTypeStateIssuer
3943739MedicaidTN
410048312OtherTNMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040728001332 TN Practitioner - Optometry 6608846548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joel G. OrtonGroup PAC ID 0648399808, 2 clinicians

Practice addresses (Care Compare)

1000 E College St
Pulaski, TN 38478-4517
Phone (931) 363-6147

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2165TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joel G. Orton Optometrist CurrentSince Sep 19, 2000 Accepting new patients

Locations

1000 E College St
Pulaski, TN 38478
Phone (931) 363-6147

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1538242003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384780595",
            "telephone_number": "931-363-6147",
            "fax_number": "931-363-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST COLLEGE STREET",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384780595",
            "telephone_number": "931-363-6147",
            "fax_number": "931-363-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTON",
        "first_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3943739",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410048312",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

Verify at the official NPI Registry.