Lanier Eye Care, LLC – Optometrist, NPI 1508495474

Lanier Eye Care, LLC is a healthcare provider. based in Cumming, Georgia. specializing in Optometrist. The NPI Number for Lanier Eye Care, LLC is 1508495474

Main info

Organization
Name
Lanier Eye Care, LLC
NPI
1508495474
Phone
(470) 239-6625
Address
1211 Bald Ridge Marina Rd
Authorized Official
DR. DEREK ALAN BLACK OWNER/MEMBER OD
Enumeration Date
3 April 2020
Last Update Date
7 October 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness80
Years active:6State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Lanier Eye Care, LLC

  • 1211 Bald Ridge Marina Rd

    Cumming, GA 300418484

    Phone: (470) 239-6625

    Fax: (470) 239-6626

    Type: Location

  • 1211 BALD RIDGE MARINA RD

    CUMMING, GA 300418484

    Phone: (470) 239-6625

    Fax: (470) 239-6626

    Type: Mailing

  • 4008 MUNDY MILL RD

    OAKWOOD, GA 305662807

    Phone: (706) 576-7283

    Fax: (706) 640-3877

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-03-31 (70 days ago).

Enrollment records

1

Earliest due date

2026-03-31

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
O20210308000835OClinic/Group PracticeGA2026-03-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30041)

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Reviews

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Frequently asked questions

What is the standard ID for Lanier Eye Care, LLC in the U.S.?
In the U.S., Lanier Eye Care, LLC is identified by NPI 1508495474.
Is Lanier Eye Care, LLC's NPI status active today?
Active status means Lanier Eye Care, LLC's NPI record is not deactivated in the public file.
What services align with Lanier Eye Care, LLC's listing?
Lanier Eye Care, LLC's public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit Lanier Eye Care, LLC in Cumming, Georgia?
For routing, start with Cumming, Georgia for Lanier Eye Care, LLC, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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