Lanny F Duclos OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

113879-9934 Issued in UT

Legal business name

LANNY F DUCLOS OD PC

Doing business as

Eye Health Professionals

Practice address

88 E 700 N
Suite a
Tooele, UT 84074-1818

Phone

(435) 882-6452

Fax

(435) 882-3170

NPI assigned

Oct 20, 2006

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lanny F Duclos, ODNPI 1508827262

Title

Ceo

Phone

(435) 882-6452

Specialties & licenses 1

Addresses

Other names 1

• Eye Health Professionals Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lanny F Duclos, OD

  • Optometrist
  • Tooele, UT
  • NPI 1508827262
  Medicare reassignment Care Compare group NPD Authorized official
• Clifford Parker, OD

  • Optometrist
  • Ogden, UT
  • NPI 1841820792
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1972685402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E 700 N",
            "address_2": "SUITE A",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741818",
            "telephone_number": "435-882-6452",
            "fax_number": "435-882-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E 700 N",
            "address_2": "SUITE A",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741818",
            "telephone_number": "435-882-6452",
            "fax_number": "435-882-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANNY F DUCLOS OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "DUCLOS",
        "authorized_official_first_name": "LANNY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "14358826452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "113879-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Health Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cherise Kortie
• Mackenzi Kough
• Philip Krukow
• Randy Kwon, DMD
• Subrina Langston
• Michele Marie Larson, FNP
• Spencer Larson, DO
• Soana Latu
• Kristi Lynn Lawrence, APRN FNP-C, PMHNP-BC
• Jennifer Clark Lawson, CRNA

• Optometrist in Tooele, UT
• Providers in Tooele, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.