| NPI | 1043203409 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-31 |
| Last Updated | 2011-09-21 |
| Mailing Address | Po Box 697 Mc Connellsburg, PA 17233-0697 United States Phone: (717) 485-4434 | Fax: (717) 485-9407 📍 View Map |
| Primary Practice Address | 182 Buchanan Trail, Suite 185 Mcconnellsburg, PA 17233-8261 United States Phone: (717) 485-4434 | Fax: (717) 485-9407 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | PA | 0014884720003 | - |
| Other (non-Medicare) | PA | 50075089 | Capital Blue Cross |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | PA | OGE000013 |
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About NPI 1043203409
Joey Lynn Lane OD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1043203409. The primary specialty listed is Optometrist. The provider is located in Mcconnellsburg, PA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043203409?
NPI 1043203409 belongs to Joey Lynn Lane OD, a Optometrist in Mcconnellsburg, PA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043203409 active?
The current status of NPI 1043203409 in the NPPES registry is Active. The record was last updated on 2011-09-21.
What specialty is NPI 1043203409?
NPI 1043203409 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043203409?
You can verify NPI 1043203409 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043203409?
The primary practice address on file for NPI 1043203409 is 182 Buchanan Trail, Mcconnellsburg, PA 17233-8261. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043203409 issued?
NPI 1043203409 was first issued (enumerated) on 2005-08-31. The NPPES record was last updated on 2011-09-21.
Practice Location Map
Joey Lynn Lane is located at 182 Buchanan Trail, Mcconnellsburg, PA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Joey Lynn Lane. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1043203409. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist | OGE000013 | PA |