Gary W Lasken OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GARY W LASKEN OD LLC

Practice address

7815 N Knoxville Ave
Peoria, IL 61614-2078

Phone

(309) 692-5500

Fax

(309) 692-5508

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gary W Lasken, O.D.

Title

Owner/Optometrist

Phone

(309) 692-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Robin Lynn Wilson, O.D.

  • Optometrist
  • Peoria, IL
  • NPI 1912993544
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1659391175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142078",
            "telephone_number": "309-692-5500",
            "fax_number": "309-692-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142078",
            "telephone_number": "309-692-5500",
            "fax_number": "309-692-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY W LASKEN OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "LASKEN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "309-692-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATION PTAN",
            "identifier": "IL4516",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Glen Garrison, DC
• Michael Paul Garrison, RD, LDN
• Michelle A Garrison, AGACNP
• Thomas W Garske, CRNA
• Dennis Garwacki
• Farrah Nicole Gaston, DO
• Gateway Foundation, Inc.
• Gateway Foundation, Inc. - BHC (Alpharus Health)
• Gateway Professional Services, PC
• Kristin Gatliff

• Optometrist in Peoria, IL
• Providers in Peoria, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.