Individual provider Active NPI

Paul M Lampert, OD PA

  • Optometrist
  • Russell, KS
National Provider Identifier
1811027790
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1572 Issued in KS
Practice address
124 East Wichita Avenue
Russell, KS 67665-0568
Phone
(785) 483-2291
Fax
(785) 483-3636
NPI assigned
Mar 7, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1572 KS Primary

Addresses

Primary practice location

124 East Wichita Avenue
Russell, KS 67665-0568

Mailing address

PO Box 568
Russell, KS 67665-0568
Phone (785) 483-2291

Other practice location 1

200 S Jefferson St
Plainville, KS 67663-2207
Phone (785) 434-2074

Other identifiers 1

IdentifierTypeStateIssuer
100410300DMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050318000735 KS Practitioner - Optometry 0446205793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

124 E Wichita Ave
Russell, KS 67665-2038
Phone (785) 483-2291

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1572KSMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: paul.lampert@direct.revolutionehr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1811027790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676650568",
            "telephone_number": "785-483-2291",
            "fax_number": "785-483-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 EAST WICHITA AVENUE",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676650568",
            "telephone_number": "785-483-2291",
            "fax_number": "785-483-3636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "KS",
            "postal_code": "676632207",
            "country_code": "US",
            "telephone_number": "785-434-2074",
            "fax_number": "785-688-4045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMPERT",
        "first_name": "PAUL",
        "middle_name": "M",
        "credential": "OD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100410300D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, KS

Sources for this page

Verify at the official NPI Registry.