Individual provider Active NPI

Paul W Lanczki, OD

  • Optometrist
  • Adrian, MI
National Provider Identifier
1982600722
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002974 Issued in MI
Practice address
580 Riverside Ave
Adrian, MI 49221-1543
Phone
(517) 265-6055
Fax
(517) 265-6115
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002974 MI Primary

Addresses

Primary practice location

580 Riverside Ave
Adrian, MI 49221-1543

Mailing address

580 Riverside Ave
Adrian, MI 49221-1543
Phone (517) 265-6055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20041006000510 MI Practitioner - Optometry 7012976046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul W Lanczki PCGroup PAC ID 8628037645, 2 clinicians

Practice addresses (Care Compare)

580 Riverside Ave
Adrian, MI 49221-1543
Phone (517) 265-6055

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian Eye Care, PLLC Optometrist CurrentSince Jul 1, 2004 Accepting new patients

Locations

580 Riverside Ave
Adrian, MI 49221
Phone (517) 265-6055

1136 Country Club Rd
Unit C
Adrian, MI 49221
Phone (517) 336-5110

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1982600722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 RIVERSIDE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211543",
            "telephone_number": "517-265-6055",
            "fax_number": "517-265-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 RIVERSIDE AVE",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211543",
            "telephone_number": "517-265-6055",
            "fax_number": "517-265-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCZKI",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.