Organization Active NPI

Virtual Image Eyewear PC

Doing business as Lanter EyeCare & Laser Surgery PC

  • Optometrist
  • Indianapolis, IN
National Provider Identifier
1639204720
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0111609909 Issued in IN
Legal business name
VIRTUAL IMAGE EYEWEAR PC
Doing business as
Lanter EyeCare & Laser Surgery PC
Practice address
5025 E 82ND St
Ste 2300
Indianapolis, IN 46250
Phone
(317) 844-6269
Fax
(317) 815-7567
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Authorized official

Name
Dr. Earl E Lanter, M.D. O.D.
Title
Preseident
Phone
(317) 844-6269

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0111609909 IN Primary
Eyewear Supplier 332H00000X 0111609909 IN

Addresses

Primary practice location

5025 E 82ND St
Ste 2300
Indianapolis, IN 46250

Mailing address

10610 N Pennsylvania St
Ste B
Indianapolis, IN 46280-2000
Phone (317) 844-6269

Other names 1

  • Lanter EyeCare & Laser Surgery PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lanter Eye Care and Laser Surg3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10610 N Pennsylvania St
Ste B
Carmel, IN 46280
Phone (317) 844-6269

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1639204720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 N PENNSYLVANIA ST",
            "address_2": "STE B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462802000",
            "telephone_number": "317-844-6269",
            "fax_number": "317-815-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 E 82ND ST",
            "address_2": "STE 2300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46250",
            "telephone_number": "317-844-6269",
            "fax_number": "317-815-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL IMAGE EYEWEAR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "LANTER",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "317-844-6269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "0111609909",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IN",
            "license": "0111609909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lanter EyeCare & Laser Surgery PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.