Individual provider Active NPI

Cameron Layton Lapp, O.D.

  • Optometrist
  • Calumet City, IL
National Provider Identifier
1780709840
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009301 Issued in IL
Practice address
585 River Oaks W
Calumet City, IL 60409-5443
Phone
(219) 924-9714
Fax
(219) 924-9714
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009301 IL Primary
Optometrist 152W00000X 18003332A IN

Addresses

Primary practice location

585 River Oaks W
Calumet City, IL 60409-5443

Mailing address

1717 Hidden Oaks CT
Plainfield, IL 60586-1651
Phone (815) 577-6448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009301ILMDOptometrist
18003332AINMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1780709840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HIDDEN OAKS CT",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605861651",
            "telephone_number": "815-577-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 RIVER OAKS W",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095443",
            "telephone_number": "219-924-9714",
            "fax_number": "219-924-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPP",
        "first_name": "CAMERON",
        "middle_name": "LAYTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009301",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003332A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.