Individual provider Active NPI

Milton Julius Lane, BS, BSBA, MBA, OD

  • Corneal and Contact Management Optometrist
  • Little Rock, AR
National Provider Identifier
1801871595
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2219 Issued in AR
Practice address
10700 N Rodney Parham Rd
Little Rock, AR 72212-4113
Phone
(501) 225-4648
Fax
(501) 225-8628
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2219 AR
Corneal and Contact Management Optometrist 152WC0802X 2219 AR Primary

Addresses

Primary practice location

10700 N Rodney Parham Rd
Little Rock, AR 72212-4113

Mailing address

10700 N Rodney Parham Rd
Little Rock, AR 72212-4113
Phone (501) 225-4648

Other identifiers 1

IdentifierTypeStateIssuer
104558722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20060104000186 AR Practitioner - Optometry 8921020017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10700 N Rodney Parham Rd
Little Rock, AR 72212-4113

10700 N Rodney Parham Rd
Little Rock, AR 72212-4191
Phone (501) 225-4648

119 E 2ND St
McCrory, AR 72101-0630
Phone (870) 731-5706

17 Valley Estates Dr
Little Rock, AR 72212-4405

625 N 1St St
Suite a
Jacksonville, AR 72076-4138
Phone (501) 982-8833

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Lane Eye Care Center, P.a. Optometrist CurrentSince Jan 1, 1990 Accepting new patients
Lane Eye Care Center, P.a. Optometrist CurrentSince Jan 1, 1990 Accepting new patients

Locations

625 N 1st St
Ste A
Jacksonville, AR 72076
Phone (501) 982-8833

10700 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 225-4648

10700 N Rodney Parham Rd
Ste C6B
Little Rock, AR 72212

Interoperability endpoints

  • Direct secure messaging: lane.milton.006.0040044@lecc.meditab.direct-ci.com
  • Direct secure messaging: lane.milton.005.0040044@lecc.meditab.direct-ci.com
  • Direct secure messaging: lane.milton.007.0040044@lecc.meditab.direct-ci.com

Organizations & group practices 2

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1801871595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124113",
            "telephone_number": "501-225-4648",
            "fax_number": "501-225-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 N RODNEY PARHAM RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124113",
            "telephone_number": "501-225-4648",
            "fax_number": "501-225-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MILTON",
        "middle_name": "JULIUS",
        "name_prefix": "Dr.",
        "credential": "BS, BSBA, MBA, OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2219",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AR",
            "license": "2219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104558722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.