Daniel T Lantz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1803 Issued in IA

Practice address

203 S 16TH St
Clarinda, IA 51632-2107

Phone

(712) 542-6521

Fax

(712) 542-4209

NPI assigned

Aug 18, 2005

Last updated

Dec 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1699767442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 257",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516320257",
            "telephone_number": "712-542-6521",
            "fax_number": "712-542-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 S 16TH ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322107",
            "telephone_number": "712-542-6521",
            "fax_number": "712-542-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "DANIEL",
        "middle_name": "T",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218172",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Lynn Keller, D.O.
• Tara Keller, L.M.H.C.
• Kevin L Ketter, P.T.
• Erica King
• Bailley Kralik
• Allison Noelle Leach, LMHC
• Kathy J Lee, RPH
• Jason Troy Lihs, CRNA
• Michael J Mahoney, M.D.
• Ryan Mahoney, ARNP

• Optometrist in Clarinda, IA
• Providers in Clarinda, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.