DR. BRYAN EDWARD LALLATHIN (O.D.) – Optometrist, NPI 1083651988

DR. BRYAN EDWARD LALLATHIN (O.D.) is a healthcare provider. based in Lubbock, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5069TG (TX). The NPI Number for DR. BRYAN EDWARD LALLATHIN (O.D.) is 1083651988

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYAN EDWARD LALLATHIN (O.D.)
NPI
1083651988
Phone
(806) 472-3400
Address
6104 Avenue Q South Dr
Enumeration Date
31 May 2006
Last Update Date
10 November 2021

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
9155954375
Graduation Year
1994 (32 years ago)
PAC ID
3274947312
Group Practice PAC ID
2264408152
Professional Enrollment ID
I20210201000355
Address ID
TX799365922EL1400XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. BRYAN EDWARD LALLATHIN (O.D.)

  • 6104 Avenue Q South Dr

    Lubbock, TX 794123700

    Phone: (806) 472-3400

    Type: Location

  • 4800 N 22ND ST STE 210

    PHOENIX, AZ 850164963

    Phone: (602) 598-7488

    Fax: (602) 508-4830

    Type: Mailing

  • 1400 COMMON DR

    EL PASO, TX 799365922

    Phone: (915) 267-2020

    Fax: (915) 595-4460

    Type: Location

  • VA Lubbock, 6104, Avenue Q South Drive, Lubbock, Texas, 79412, United States

    LUBBOCK, TX 794123700

    Phone: (806) 472-3400

    Type: Location

  • 2202, 96th Street, Bent Tree, Lubbock, Lubbock County, Texas, 79423, United States

    LUBBOCK, TX 794234433

    Phone: (806) 472-3400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $794.

Total Amount is formed as General ($794) + Research ($0) + Ownership ($0) = $794.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($295).

Total Amount

$794

General + Research + Ownership

Payments

16

Total payment records

General Amount

$794

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210201000355IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes395339$0
92250Photography of the retina235210$0
99212Established patient office or other outpatient visit, 10-19 minutes176134$0
99204New patient office or other outpatient visit, 45-59 minutes133133$0
92083Exam of visual field with extended testing9685$0
View full utilization report →

Insurance plans in this area (ZIP 79412)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264408152View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
A N E S T H E S I O L O G YTX
O P T O M E T R YTX
O P H T H A L M O L O G YNC
Certified Registered Nurse Anesthetist (Crna)HI
O P T O M E T R YNV
O P H T H A L M O L O G YAZ
O P T O M E T R YTX
O P T O M E T R YAZ
O P T O M E T R YTX

Reviews

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Frequently asked questions

How do payers reference DR. BRYAN EDWARD LALLATHIN (O.D.)?
For DR. BRYAN EDWARD LALLATHIN (O.D.), use NPI 1083651988 as the unique 10-digit identifier.
Is DR. BRYAN EDWARD LALLATHIN (O.D.) still an active registrant?
DR. BRYAN EDWARD LALLATHIN (O.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. BRYAN EDWARD LALLATHIN (O.D.)?
DR. BRYAN EDWARD LALLATHIN (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. BRYAN EDWARD LALLATHIN (O.D.)?
Travel planning: use Lubbock, Texas as the reference point for DR. BRYAN EDWARD LALLATHIN (O.D.), then confirm.
Can I trust this NPI listing for DR. BRYAN EDWARD LALLATHIN (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.