| Lane Optometry, Pllc | |
|
1345 Western Blvd Ste 120b, Jacksonville, NC 28546-7627 | |
| (910) 376-8229 | |
| (910) 937-0020 |
| Full Name | Lane Optometry, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1345 Western Blvd Ste 120b, Jacksonville, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356628283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2030 (North Carolina) | Primary |
| Provider Name | Justin D Lane |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235270174 PECOS PAC ID: 7214082270 Enrollment ID: I20090827000523 |
| Provider Name | Gail Joslin Kelley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548596356 PECOS PAC ID: 6204977689 Enrollment ID: I20100107000293 |
| Provider Name | Keitha Ann Covalla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124023221 PECOS PAC ID: 3173651908 Enrollment ID: I20100514000288 |
| Provider Name | Rasika Khatu Whitesell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750717336 PECOS PAC ID: 8224264296 Enrollment ID: I20131121000813 |
| Provider Name | Amber Parham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912357708 PECOS PAC ID: 0042595787 Enrollment ID: I20170321001500 |
| Provider Name | Samantha Price |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538511993 PECOS PAC ID: 4880959402 Enrollment ID: I20180601001640 |
| Mailing Address | Practice Location Address |
|---|---|
| Lane Optometry, Pllc 120 Wyndham Way, Wilmington, NC 28411-6710 Ph: (910) 508-4127 | Lane Optometry, Pllc 1345 Western Blvd Ste 120b, Jacksonville, NC 28546-7627 Ph: (910) 376-8229 |
Eyecarecenter Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4130 Western Blvd, Jacksonville, NC 28546 Phone: 636-200-4393 Fax: 910-353-5459 | |
Sheri L Laughinghouse, OD Optometrist Medicare: Medicare Enrolled Practice Location: 561 Yopp Rd, Jacksonville, NC 28540 Phone: 910-353-2020 Fax: 910-355-2021 | |
Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste K, Jacksonville, NC 28546 Phone: 910-353-0541 Fax: 910-353-5353 | |
Mission Vision Optometry, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3301 Henderson Dr, Jacksonville, NC 28546 Phone: 910-939-2068 Fax: 910-939-2069 | |
Dr. Justin David Lane, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1345 Western Blvd Ste 120b, Jacksonville, NC 28546 Phone: 910-376-8229 | |
Dr. Jared A Taylor, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 409 Western Blvd, Suite 700, Jacksonville, NC 28546 Phone: 910-219-3937 | |
Dr. Patrick M Dooley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 314 Jacksonville Mall, Jacksonville, NC 28546 Phone: 910-353-9200 Fax: 910-353-5459 |