John A Lapp, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046006866 Issued in IL

Practice address

300 North Broad
Carlinville, IL 62626

Phone

(217) 854-7611

Fax

(217) 854-8120

NPI assigned

Sep 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Fireside Eye Care, P.C.

  • Optometrist
  • Benld, IL
  • NPI 1447448717
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1669574562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTH BROAD",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "62626",
            "telephone_number": "217-854-7611",
            "fax_number": "217-854-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTH BROAD",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "62626",
            "telephone_number": "217-854-7611",
            "fax_number": "217-854-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPP",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046006866",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph P Kravanya, BS LPC
• Nicolas Eric Kravanya, D.M.D.
• Lakeside Health and Rehab Center LLC
• Lakeside Health and Rehab Center LLC
• Breanna Veronica Lamonte, B.A.
• Gregg L Laws, MD
• Yae Rim Lee, M.D.
• Nancy El Leefers, LCSW
• Anna Maria Lentini, APN
• Jessica Levora, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.