Individual provider Active NPI

Dannette Lee Lammert, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1699030841
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
739 Issued in NV
Practice address
7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040
Phone
(702) 341-7254
NPI assigned
Jul 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 739 NV Primary

Addresses

Primary practice location

7361 W Lake Mead Blvd Ste 104
Las Vegas, NV 89128-1040

Mailing address

388 Jolly January Ave
Las Vegas, NV 89183-3543
Phone (702) 374-1066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170425001293 TX Practitioner - Optometry 4587890793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Village Vision Center, PLLCGroup PAC ID 9133402738, 6 clinicians

Practice addresses (Care Compare)

113 Barnett Dr
Highland Village, TX 75077-3177

113 Barnett Dr
Highland Village, TX 75077-3407
Phone (972) 317-3888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8868TXMDPeriodontist
739NVMDOptometrist
739NEMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Village Vision Center, PLLC Optometrist CurrentSince Sep 1, 2018 Accepting new patients

Locations

113 Barnett Dr
Lewisville, TX 75077
Phone (972) 317-3888

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": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1699030841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 JOLLY JANUARY AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891833543",
            "telephone_number": "702-374-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7361 W LAKE MEAD BLVD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281040",
            "telephone_number": "702-341-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMMERT",
        "first_name": "DANNETTE",
        "middle_name": "LEE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.