Charles S Lannom (NPI# 1205823648, PAC ID# 2264441005) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1205823648 |
| PAC ID by PECOS | 2264441005 |
| Professional Enrollment ID | I20100325001095 |
| Full Name | Charles S Lannom |
| Organization Legal Name | FAMILY EYE CLINIC AND CONTACT LENS CENTER |
| Address |
16550 W 78th St Suite A Eden Prairie MN 55346-4308 |
| Phone Number | 9529346926 |
| Gender | M |
| Medical School | SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY |
| Graduation Year | 1980 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2466461207 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 | 9529346926 | FAMILY EYE CLINIC AND CONTACT LENS CENTER |
| 1160 Wayzata Blvd E, Wayzata, MN 55391-1963 | 9524737505 | FAMILY EYE CLINIC AND CONTACT LENS CENTER |
| Organization Legal Name | FAMILY EYE CLINIC AND CONTACT LENS CENTER |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerome T Blaschke | Optometry | Family Eye Clinic and Contact Lens Center | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 |
| James S Anderson | Optometry | Family Eye Clinic and Contact Lens Center | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 |
| Kevin Rodda | Optometry | Family Eye Clinic and Contact Lens Center | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 |
| Street Address |
16550 W 78TH ST SUITE A |
| City | EDEN PRAIRIE |
| State | MN |
| Zip | 55346-4308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah L Getty | Physical Therapy | Osr Physical Therapy Limited Partnership | 16550 W 78th St, Suite B, Eden Prairie, MN 55346-4316 |
| Joseph A Schilz | Physical Therapy | Osr Physical Therapy Limited Partnership | 16550 W 78th St, Suite B, Eden Prairie, MN 55346-4316 |
| Jerome T Blaschke | Optometry | Family Eye Clinic and Contact Lens Center | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 |
| James S Anderson | Optometry | Family Eye Clinic and Contact Lens Center | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 |
| Shannon Michael Carroll | Physical Therapy | Osr Physical Therapy Limited Partnership | 16550 W 78th St, Suite B, Eden Prairie, MN 55346-4316 |
| Kevin Rodda | Optometry | Family Eye Clinic and Contact Lens Center | 16550 W 78th St, Suite A, Eden Prairie, MN 55346-4308 |
| Meaghan M Cox | Physical Therapy | Osr Physical Therapy Limited Partnership | 16550 W 78th St, Suite B, Eden Prairie, MN 55346-4316 |
| Ryan D Koepp | Physical Therapy | Orthopedic and Sports Rehabiliation, LLC | 16550 W 78th St, Suite B, Eden Prairie, MN 55346-4316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Eriksson | Family Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Shari L Simondet | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Candyace A Dunn | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Mark D Bonin | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Kristin C Bergstrom | Emergency Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Allen L Hughes | Physician Assistant | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Kimberly D Moore | Nurse Practitioner | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Sandra K Morris | Family Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Kathryn R Kensrud | Physician Assistant | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Mark R Millis | Emergency Medicine | Medexpress Urgent Care Minnesota PC | 16490 W 78th St, Eden Prairie, MN 55346-4300 |
| Find all physicians in zip 55346 | |||
| City | EDEN PRAIRIE |
| Zip Code | 55346 |
| Specialty | OPTOMETRY |
| City + Specialty | EDEN PRAIRIE + OPTOMETRY |
Please comment or provide details below to improve the information on Charles S Lannom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.