Active NPI
Paul W Lanczki, OD
- Optometrist
- Adrian, MI
National Provider Identifier
1982600722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002974
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
580 Riverside Ave
Adrian, MI 49221-1543
Phone (517) 265-6055
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adrian Eye Care, PLLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.