Individual provider Active NPI

Lannie Michael Calhoun, O.D.

  • Optometrist
  • Baker, LA
National Provider Identifier
1841421815
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1774-708T Issued in LA
Practice address
13131 Plank Rd
Baker, LA 70714-4914
Phone
(225) 775-9406
Fax
(225) 775-0258
NPI assigned
Aug 7, 2009
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7394T TX
Optometrist 152W00000X 1774-708T LA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1774-708TLAMDOptometrist
7394TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care South, LLC Optometrist CurrentSince Oct 2, 2022 Accepting new patients
Ashley's Optical, LLC Optometrist PastSince Apr 6, 2023 Accepting new patients
Ashley Vision Center, LLC PastSince Apr 6, 2023 Accepting new patients

Organizations & group practices 3

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": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1841421815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 CHAPARRAL PL",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707393101",
            "telephone_number": "225-775-9406",
            "fax_number": "225-775-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13131 PLANK RD",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707144914",
            "telephone_number": "225-775-9406",
            "fax_number": "225-775-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "LANNIE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-07",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7394T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1774-708T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.