Individual provider Active NPI

Lola Lashay Douglass, OD

  • Optometrist
  • Lubbock, TX
National Provider Identifier
1972943637
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8144T Issued in TX
Practice address
5713 82ND St
Lubbock, TX 79424-2633
Phone
(806) 798-8820
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8144T TX Primary

Addresses

Primary practice location

5713 82ND St
Lubbock, TX 79424-2633

Mailing address

5713 82ND St
Lubbock, TX 79424-2633
Phone (806) 798-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250303003272 CO Practitioner - Optometry 0941435036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8144TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Plaza Vision Associates PLLC CurrentSince Jan 20, 2025 Accepting new patients

Locations

1869 W Littleton Blvd
Littleton, CO 80120
Phone (303) 848-2848

Organizations & group practices 1

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1972943637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242633",
            "telephone_number": "806-798-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5713 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242633",
            "telephone_number": "806-798-8820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "LOLA",
        "middle_name": "LASHAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8144T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.