Lansing Ophthalmology, P.C.
Organization Active NPI Ophthalmology Physician · East Lansing, MI
NPI 1962485342 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1962485342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- LANSING OPHTHALMOLOGY, P.C.
- Practice address
- 2001 Coolidge Rd
East Lansing, MI 48823-1378 - Phone
- (517) 337-1668
- Fax
- (517) 337-1779
- NPI assigned
- Nov 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Donald Shook
- Title
- Executive Director
- Phone
- (517) 337-1899
Other NPIs on the same Medicare enrollment 1
Practitioners 56
-
O'Neil Michel Biscette, M.D.
-
Dominika Bizub, OD
-
James E. Budge, O.D.
-
Lori L. Comparoni, O.D.
-
James B. Doshi, M.D.
-
Ahmed A. El-Sanhouri, M.D.
-
Lauren M Farris, PA
-
Emelie Joy Fergason, O.D.
-
Anjulie Gang, MD
-
Jodie Elizabeth Gordon, O.D.
-
Julia A Holmes, O.D.
-
Michelle K. Letarte, O.D.
-
Craig Donald Lewis, M.D.
-
Jenn Yu Liu, DO
-
Erica Lucier, OD
-
John Mackovjak, M.D.
-
Tracy Putnam-Sczepanski, O.D.
-
Ahmed Zaghloul Soliman, M.D.
-
Xiaokui M. You, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040121000456 | MI | Part B Supplier - Clinic/Group Practice | 9335041409 |
Receives reassigned benefits from 25 practitioners 1 other NPI on this enrollment Practice locations: Mt Pleasant, MI; Okemos, MI; Grand Ledge, MI; Howell, MI; East Lansing, MI; Battle Creek, MI |
National Provider Directory
Locations
1535 E Broomfield St
#L
Mt Pleasant, MI 48858
Phone (989) 772-3339
1535 E Broomfield St
Ste A
Mt Pleasant, MI 48858
Phone (517) 772-3339
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes | ||
| Glaucoma Specialist (Ophthalmology) Physician |
207WX0009X | |||
| Retina Specialist (Ophthalmology) Physician |
207WX0107X | |||
| Ophthalmic Plastic and Reconstructive Surgery Physician |
207WX0200X | |||
| Surgical Physician Assistant |
363AS0400X |
Addresses
Primary practice location
2001 Coolidge Rd
East Lansing, MI 48823-1378
Mailing address
1005 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-8186
Phone (517) 337-1668
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE4235 | Other | MI | RAILROAD MEDICARE |
| 180C36002 | Other | MI | BCBSM |
Other names
- LO Eye Care
Other providers in East Lansing, MI
- Lansing Institute of Urolgoy
- Lansing Institute of Urology , P.C.
- Lansing Neurosurgery and Spine Institute PLLC
- Lansing Ophthalmology, P.C.
- Lansing Ophthalmology, P.C.
- Lansing Ophthalmology, PC
- Lansing Podiatry, PLLC
- Lansing Psychological Associates Inc
- Lansing Psychological Associates Inc
- Lansing Rehabilitation Services, P.C.
All providers in East Lansing, MI · Ophthalmology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.