# RICHARD A. LANE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAne Eye Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417084385
- **Authorized official:** MRS. CAROLYN KENDALL LANE RN (CO-OWNER)
- **Authorized official phone:** (802) 886-3937

## Contact information

- **Practice address:** 441 RIVER ST, SPRINGFIELD, VT 05156-2222
- **Practice address phone:** (802) 886-3937
- **Practice address fax:** (802) 886-3167
- **Mailing address:** PO BOX 830, SPRINGFIELD, VT 05156-0830
- **Mailing address phone:** (802) 886-3937
- **Mailing address fax:** (802) 886-3167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 10/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1282180001 | MEDICARE NSC | — |
| 01 | — | 180035977 | RAILROAD MEDICARE | — |
| 01 | — | 180045876 | RAILROAD MEDICARE | — |
| 05 | — | 302102 40 | — | NH |
| 05 | — | OVN1908 | — | VT |
