Individual provider Active NPI

Douglas Howard Lanning, O.D.

  • Optometrist
  • Eureka, CA
National Provider Identifier
1750449211
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12163T Issued in CA
Practice address
2437 Buhne St
Eureka, CA 95501-3206
Phone
(707) 443-4581
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12163T CA Primary

Addresses

Primary practice location

2437 Buhne St
Eureka, CA 95501-3206

Mailing address

2437 Buhne St
Eureka, CA 95501-3206
Phone (707) 443-4581

Other identifiers 1

IdentifierTypeStateIssuer
SD0121630MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050427000600 CA Practitioner - Optometry 7214976703 Practice locations: Eureka, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2437 Buhne St
Eureka, CA 95501-3206
Phone (707) 443-4581

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12163TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas H. Lanning, O.D. Optometrist PastSince Jan 1, 2005 Accepting new patients

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1750449211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 BUHNE ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013206",
            "telephone_number": "707-443-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 BUHNE ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013206",
            "telephone_number": "707-443-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNING",
        "first_name": "DOUGLAS",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12163T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0121630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.