Lane Eye Care Center, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2219 Issued in AR

Legal business name

LANE EYE CARE CENTER, P.A.

Practice address

625 N 1St St Ste a
Ste a
Jacksonville, AR 72076-4138

Phone

(501) 982-8833

Fax

(501) 985-6806

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Milton J Lane, O.D.NPI 1801871595

Title

President

Phone

(501) 982-8833

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Lane Eye Care Center, P.a.

  • Optometrist
  • Little Rock, AR
  • NPI 1376750414

  6608899794

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lane Eye Care Center, P.a.

  • Optometrist
  • McCrory, AR
  • NPI 1316155815

  O20060104000242

  Same enrollment
• Lane Eye Care Center, P.a.

  • Optometrist
  • Little Rock, AR
  • NPI 1376750414

  O20060104000242

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Lane Eye Care Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lane Eye Care Center, P.a.

  • Clinic/Center
  • Little Rock, AR
  • NPI 1003074998
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Milton Julius Lane, BS, BSBA, MBA, OD

  • Corneal and Contact Management Optometrist
  • Little Rock, AR
  • NPI 1801871595
  NPD Authorized official

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1831308386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720780099",
            "telephone_number": "501-982-8833",
            "fax_number": "501-985-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N 1ST ST STE A",
            "address_2": "STE A",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720764138",
            "telephone_number": "501-982-8833",
            "fax_number": "501-985-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE EYE CARE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-982-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110945722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Jacksonville, AR
• Providers in Jacksonville, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.