Lorraine Deangelis Summerlin, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S969TA526 Issued in AL

Practice address

5447 Main St
Grant, AL 35747-8322

Phone

(256) 728-3937

Fax

(256) 728-3938

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

No

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.

• Neena Singhal James, LLC

  • Optometrist
  • Huntsville, AL
  • NPI 1215469242

  AL

  Medicare reassignment Care Compare group
• Grant Family Eye Care, P.C.

  • Optometrist
  • Grant, AL
  • NPI 1740458553
  NPD (past) Authorized official
• William F. Pittenger, Jr., O.D., P.C.

  • Optometrist
  • Huntsville, AL
  • NPI 1548318603
  NPD
• Eye Center Surgeons & Assoc LLC

  • Ophthalmology Physician
  • Huntsville, AL
  • NPI 1497765721
  NPD (past)
• Ophthalmic Surgical Partners, LLC

  • Ambulatory Surgical Clinic/Center
  • Madison, AL
  • NPI 1144196262
  NPD (past)

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neena Singhal James, LLC 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drsummerlin@2020eyecare.direct.eyemdemr.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2009.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1720161425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5447 MAIN ST",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357478322",
            "telephone_number": "256-728-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5447 MAIN ST",
            "city": "GRANT",
            "state": "AL",
            "postal_code": "357478322",
            "telephone_number": "256-728-3937",
            "fax_number": "256-728-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERLIN",
        "first_name": "LORRAINE",
        "middle_name": "DEANGELIS",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S969TA526",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001876",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Michele Rice, NP-C
• Christina M Sallustio, MS CCC-SLP
• Julian F Sparks, DMD
• Chandler Scott Stisher, MD
• Amanda Lara Storey, MD
• Vivian Nell Hannon
• Wal-Mart Stores East LP

• All providers in Grant, AL
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.