DR. BRADLEY MART LANE (NPI# 1255539607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255539607 |
Entity Type | Individual |
Full Name | DR. BRADLEY MART LANE |
Credential | OD |
Practice Address |
700 Wenonah Ave Pearisburg VA 24134-1638 |
Mailing Address |
111 Ridgeway Dr Princeton WV 24740-9775 |
Practice Telephone | 5409214116 |
Mailing Telephone | 3045462902 |
Enumeration Date | 2007-07-06 |
Last Update Date | 2011-05-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 0618001654 | VA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810010275 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881198968 | Bradley Allen Lane | Student in an Organized Health Care Education/Training Program | 525 E Market St, Akron, OH 44304-1619 | 2018-03-22 |
Street Address |
700 WENONAH AVE |
City | PEARISBURG |
State | VA |
Zip Code | 24134-1638 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447332242 | Christopher Norman Pierce Hansen | Optometrist | 700 Wenonah Ave, Pearisburg, VA 24134-1638 | 2006-10-20 |
1750672622 | New River Eye Care Family Optometry PC | Optometrist | 700 Wenonah Ave, Pearisburg, VA 24134-1638 | 2011-04-27 |
1134319593 | New River Eye Care | Optometrist | 700 Wenonah Ave, Pearisburg, VA 24134-1638 | 2007-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447239348 | James Robert Smith | Emergency Medicine | 6 Taylor Ave., Pearisburg, VA 24134 | 2006-01-10 |
1386124386 | Jessica Lee Furrow | Nurse Practitioner | 159 Hartley Way, Pearisburg, VA 24134 | 2018-08-19 |
1780066837 | Cassandra Marie Mccoy | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134 | 2015-06-25 |
1326387754 | Clarity Eye Care, Plc | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2013-02-05 |
1235418302 | Angela Renae Lilly | Nurse Practitioner | 430 Boxwood Ln, Pearisburg, VA 24134 | 2011-08-08 |
1316238546 | Be Active Physical Therapy Inc | Physical Therapist | 203 North Main St, Pearisburg, VA 24134 | 2011-04-21 |
1073816278 | Jonathan M Marshall | Nurse Anesthetist, Certified Registered | 159 Hartley Way, Pearisburg, VA 24134 | 2010-12-09 |
1972788610 | Helen Jacqueline Clark | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2007-12-31 |
1740478403 | Nickolas Wilson Clark | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2007-10-09 |
1962460477 | Darla Gay Whitehead | Physical Therapist | 203 North Main Street, Pearisburg, VA 24134 | 2006-05-03 |
Find all providers in zip 24134 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447332242 | Christopher Norman Pierce Hansen | Optometrist | 700 Wenonah Ave, Pearisburg, VA 24134-1638 | 2006-10-20 |
1649239112 | Daniel Layne Bowling | Optometrist | 122 Tazewell St, Pearisburg, VA 24134-1632 | 2006-03-22 |
1326387754 | Clarity Eye Care, Plc | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2013-02-05 |
1750672622 | New River Eye Care Family Optometry PC | Optometrist | 700 Wenonah Ave, Pearisburg, VA 24134-1638 | 2011-04-27 |
1972788610 | Helen Jacqueline Clark | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2007-12-31 |
1740478403 | Nickolas Wilson Clark | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2007-10-09 |
1134319593 | New River Eye Care | Optometrist | 700 Wenonah Ave, Pearisburg, VA 24134-1638 | 2007-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033710124 | Ryan Henger | Optometrist | 12551 Jefferson Ave Ste 249, Newport News, VA 23602-4487 | 2020-11-04 |
1457977050 | Carl Brandon Myers | Optometrist | 8125 Timberlake Rd, Lynchburg, VA 24502-2607 | 2020-06-19 |
1942826565 | Kendall Shafran | Optometrist | 44365 Premier Plz Ste 210, Ashburn, VA 20147-5058 | 2020-06-19 |
1033733258 | Emily Scannell | Optometrist | 1560 Mall Dr, Norfolk, VA 23511-3806 | 2020-06-03 |
1962024711 | Nova Optique and Eyecare | Optometrist | 672 N Glebe Rd, Arlington, VA 22203-2161 | 2020-05-15 |
1891323101 | Sharpvue Eyecare Pllc | Optometrist | 15243 Forest Rd Ste E, Forest, VA 24551-4974 | 2020-03-31 |
1871123943 | Lois Hermann Phillips | Optometrist | 9 Gamebird Ct, Manakin Sabot, VA 23103 | 2020-01-17 |
1356991830 | Finpax | Optometrist | 11847 Aspengraf Ln Ste A, New Kent, VA 23124-2130 | 2019-09-16 |
1629627559 | Seth Gorman | Optometrist | 4501 S Laburnum Ave Ste 145, Richmond, VA 23231-2483 | 2019-09-04 |
1679121800 | George Z Ishak | Optometrist | 1871 Carl D Silver Pkwy Ste 1113, Fredericksburg, VA 22401-4969 | 2019-08-30 |
Find all providers with the same taxonomy |
City | PEARISBURG |
Zip Code | 24134 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.