Individual provider Active NPI

Sarah Lane, O.D.

  • Vision Therapy Optometrist
  • Lakewood, NJ
National Provider Identifier
1942282702
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
27OA00610300 Issued in NJ
Practice address
910 E County Line Rd
Suite 102B
Lakewood, NJ 08701-2031
Phone
(732) 966-3839
NPI assigned
Nov 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006908 NY
Optometrist 152W00000X 030-0000343 VT
Vision Therapy Optometrist 152WV0400X 27OA00610300 NJ Primary

Addresses

Primary practice location

910 E County Line Rd
Suite 102B
Lakewood, NJ 08701-2031

Mailing address

910 E County Line Rd
Suite 102B
Lakewood, NJ 08701-2031
Phone (732) 966-3839

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006908NYMDOptometrist
030-0000343VTMDOptometrist
27OA00610300NJMDVision Therapy Optometrist
006908NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office Optometrist Past Accepting new patients
Dietrich Opticians, PA Past Accepting new patients
State of New York Comptrollers Office Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1942282702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E COUNTY LINE RD",
            "address_2": "SUITE 102B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012031",
            "telephone_number": "732-966-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E COUNTY LINE RD",
            "address_2": "SUITE 102B",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087012031",
            "telephone_number": "732-966-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006908",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0000343",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00610300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.