Lannie Michael Calhoun, O.D.
Individual provider Active NPI Optometrist · Baker, LA
NPI 1841421815 · NPPES record last updated Mar 28, 2023
Key facts
- NPI
- 1841421815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1774-708T (LA)
- Practice address
- 13131 Plank Rd
Baker, LA 70714-4914 - Phone
- (225) 775-9406
- Fax
- (225) 775-0258
- NPI assigned
- Aug 7, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1774-708T | LA | MD | Optometrist |
| 7394T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care South, LLC | Optometrist | Current |
Accepting new patients |
| Ashley Vision Center, LLC | Past |
Accepting new patients | |
| Ashley'S Optical, LLC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7394T | TX | |
| Optometrist | 152W00000X | 1774-708T | LA | Yes |
Addresses
Primary practice location
13131 Plank Rd
Baker, LA 70714-4914
Mailing address
6739 Chaparral PL
Greenwell Springs, LA 70739-3101
Phone (225) 775-9406
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2387201 | Medicaid | LA |
Other providers in Baker, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.