Organization
RICHARD A. LANE MD PC
Active
Other names
LAne Eye Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN KENDALL LANE RN (CO-OWNER)
(802) 886-3937
Entity
Organization
Contact information
Practice address
441 RIVER ST, SPRINGFIELD, VT 05156-2222
(802) 886-3937
(802) 886-3167
Mailing address
PO BOX 830, SPRINGFIELD, VT 05156-0830
(802) 886-3937
(802) 886-3167
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
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
Enumeration date
02/27/2007
Last updated
10/17/2008
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