Active NPI
Lauren Anne Salazar, O.D.
- Optometrist
- Canyon, TX
National Provider Identifier
1811302144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8440TG
- Practice address
- 1801 4TH Ave
Canyon, TX 79015-3853 - Phone
- (806) 655-7748
- Fax
- (806) 655-2871
- NPI assigned
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8440TG | TX | Primary |
Addresses
Primary practice location
1801 4TH Ave
Canyon, TX 79015-3853
Mailing address
1801 4TH Ave
Canyon, TX 79015-3853
Phone (806) 655-7748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 4TH Ave
Suite C
Canyon, TX 79015-3853
Phone (806) 655-7748
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8440TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JBK Eye Care LLP | Optometrist | Current | Accepting new patients |
| JBK Eye Care LLP | Optometrist | Past | Accepting new patients |
Locations
1801 4th Ave
Ste C
Canyon, TX 79015
Phone (806) 655-7748
1801 4th Ave
Canyon, TX 79015
Phone (806) 353-9862
517 N 25 Mile Ave
Hereford, TX 79045
Phone (806) 364-3030
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": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1811302144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 4TH AVE",
"city": "CANYON",
"state": "TX",
"postal_code": "790153853",
"telephone_number": "806-655-7748",
"fax_number": "806-655-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 4TH AVE",
"city": "CANYON",
"state": "TX",
"postal_code": "790153853",
"telephone_number": "806-655-7748",
"fax_number": "806-655-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "LAUREN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8440TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canyon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.