Lanny S Odin MD SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LANNY S ODIN MD SC

Doing business as

Central Illinois Retina Institute

Practice address

500 N Cheney St
Taylorville, IL 62568-1139

Phone

(217) 777-2020

Fax

(217) 777-2023

NPI assigned

Mar 25, 2015

Last updated

Apr 20, 2015By 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

Lanny Scott Odin, M. D.NPI 1457309130

Title

President

Phone

(217) 777-2020

Specialties & licenses 1

Addresses

Other names 1

• CENTRAL ILLINOIS RETINA INSTITUTE Doing business as

Locations

Practitioners 1

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 Odin, MD

  • Ophthalmology Physician
  • Taylorville, IL
  • NPI 1457309130
  Authorized official Same address or phone

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1972997286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625680110",
            "telephone_number": "217-777-2020",
            "fax_number": "217-777-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N CHENEY ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681139",
            "telephone_number": "217-777-2020",
            "fax_number": "217-777-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANNY S ODIN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "ODIN",
        "authorized_official_first_name": "LANNY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-777-2020",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL ILLINOIS RETINA INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kroger Limited Partnership I (Kroger Pharmacy J-888)
• Rose Lafferty, L.C.S.W.
• Lancaster Chiropractic LLC
• Kevin Thomas Lancaster, D.C.
• Payton Mikel Langen, CHW
• Timothy W Lawrence
• Leslie Jackson, MD (Taylorville Family Care, LTD)
• Kelsey Marie Levault, MD
• Carrie J Lewis, MA OTR/L
• Liberty Counseling Center,Inc.

• Ophthalmology Physician in Taylorville, IL
• Providers in Taylorville, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.