DR. MICHAEL S. LACKMAN (NPI# 1497728398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497728398 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL S. LACKMAN |
| Credential | O.D. |
| Practice Address |
65 Division Ave Suite E Eugene OR 97404-2485 |
| Practice Telephone | 5416891115 |
| Practice Fax Number | 5416885585 |
| Mailing Telephone | 5416891115 |
| Mailing Fax Number | 5416885585 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2007-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1856ATI | OR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PACIFIC SOURCE | 02501-01 | 01 |
| OR | 083019 | 05 | |
| OR | EYEMED | 111228 | 01 |
| OR | NORTHWEST BENEFIT NETWORK | 3021 | 01 |
| Street Address |
65 DIVISION AVE SUITE E |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-2485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881667160 | Jabeka Inc. | Optometrist | 65 Division Ave, Suite E, Eugene, OR 97404-2485 | 2006-02-08 |
| 1144418583 | Kimberlynn Ann Dittemore | Optometrist | 65 Division Ave, Suite E, Eugene, OR 97404-2485 | 2007-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| 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 |
|---|---|---|---|---|
| 1649707639 | Ben E. Coutant, Od, PC | Optometrist | 1680 Coburg Rd Ste 100, Eugene, OR 97401-4869 | 2017-05-22 |
| 1982000808 | David Nadeau | Optometrist | 1200 Hilyard St Ste 110, Eugene, OR 97401-8112 | 2014-11-05 |
| 1922413723 | David Andrew Hackett | Optometrist | 4765 Village Plaza Loop Ste 100, Eugene, OR 97401 | 2014-07-01 |
| 1497080576 | Bethany Lynn Thompson | Optometrist | 1800 Valley River Dr Ste 100, Eugene, OR 97401-6714 | 2009-10-07 |
| 1427202456 | Susan Youn Kim | Optometrist | 3184 Queens East St, Eugene, OR 97401-8525 | 2008-11-04 |
| 1457553976 | Eugene Eye Care Associates, PC | Optometrist | 992 Country Club Rd Ste 101, Eugene, OR 97401-6023 | 2007-06-05 |
| 1104952910 | William Ray Losie | Optometrist | 1680 Chambers St Ste 101, Eugene, OR 97402-3655 | 2007-02-26 |
| 1073616983 | Steve Jung | Optometrist | 207 Coburg Rd, Suite 105, Eugene, OR 97401 | 2006-09-06 |
| 1730199381 | John David Wellwood | Optometrist | 1350 Chambers St, Eugene, OR 97402-3728 | 2006-08-08 |
| 1134147291 | Eduardo E Ibarra | Optometrist | 249 Valley River Ctr, Eugene, OR 97401-2176 | 2006-07-17 |
| Find all providers in EUGENE | ||||
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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.