Individual provider Active NPI

Lane C Robeson, OD

  • Optometrist
  • Winona, MN
National Provider Identifier
1891762282
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2057 Issued in MN
Practice address
1400 Homer Rd
Winona, MN 55987-6044
Phone
(507) 454-4092
Fax
(507) 454-5384
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2057 MN Primary

Addresses

Primary practice location

1400 Homer Rd
Winona, MN 55987-6044

Mailing address

1400 Homer Rd
Winona, MN 55987-6044
Phone (507) 454-4092

Other identifiers 3

IdentifierTypeStateIssuer
737823800MedicaidMN
70739ROOtherMNBCBS
HP38929OtherMNHEALTH PARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040209000294 MN Practitioner - Optometry 1052205457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robeson Family Vision Center IncGroup PAC ID 5496801656, 2 clinicians

Practice addresses (Care Compare)

1400 Homer Rd
Winona, MN 55987-6044
Phone (507) 454-4092

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robeson Family Vision Center Inc Optometrist CurrentSince May 1, 2009 Accepting new patients
Robeson Family Vision Center PastSince Apr 3, 1986 Accepting new patients

Locations

1400 Homer Rd
Winona, MN 55987
Phone (507) 454-4092

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1891762282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HOMER RD",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876044",
            "telephone_number": "507-454-4092",
            "fax_number": "507-454-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HOMER RD",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876044",
            "telephone_number": "507-454-4092",
            "fax_number": "507-454-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBESON",
        "first_name": "LANE",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "737823800",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "70739RO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP38929",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winona, MN

Sources for this page

Verify at the official NPI Registry.