Organization Active NPI

Douglas H. Lanning, O.D.

  • Optometrist
  • Eureka, CA
National Provider Identifier
1962584946
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12163T Issued in CA
Legal business name
DOUGLAS H. LANNING, O.D.
Practice address
2437 Buhne St
Eureka, CA 95501-3206
Phone
(707) 443-4581
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Dr. Douglas Howard Lanning, ODNPI 1750449211
Title
Owner
Phone
(707) 443-4581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12163T CA Primary

Addresses

Primary practice location

2437 Buhne St
Eureka, CA 95501-3206

Mailing address

2437 Buhne St
Eureka, CA 95501-3206
Phone (707) 443-4581

Other identifiers 5

IdentifierTypeStateIssuer
SD0121630MedicaidCA
GSD005070MedicaidCA
EH755AMedicaidCA
SD0065450MedicaidCA
EH7712MedicaidCA

National Provider Directory

National Provider Directory

Locations

2437 Buhne St
Eureka, CA 95501
Phone (707) 443-4581

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1962584946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2437 BUHNE ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013206",
            "telephone_number": "707-443-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2437 BUHNE ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013206",
            "telephone_number": "707-443-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS H. LANNING, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "LANNING",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-443-4581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12163T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0121630",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005070",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EH755A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0065450",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EH7712",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.