1. Home
  2. Directory
  3. Missouri
  4. De Soto
  5. Optometrist
  6. NPI Profile

RENEE KATHLEEN LANE O.D.
NPI 1790039410
Optometrist in De Soto, MO

Active since November 02, 2012PECOS Enrolled
12862 STATE ROUTE 21, DE SOTO, MO 63020(636) 586-9745(636) 586-0901 Get Directions Write a Review

NPPES record last updated: January 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Renee Kathleen Lane O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE KATHLEEN LANE O.D. (NPI 1790039410) is an individual optometrist in De Soto, Missouri, licensed in Missouri (2012037795) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790039410
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameRENEE KATHLEEN LANECredential: O.D.
Location Address12862 STATE ROUTE 21De Soto, MO 63020-4742
Mailing Address5397 Oak Grove Church Rd, Po Box 37Lonedell, MO 63060-1025 · (636) 744-5467
Phone(636) 586-9745
Fax(636) 586-0901
Sole ProprietorYes
Enumeration DateNovember 2, 2012
Last NPPES UpdateJanuary 10, 2014
✔ NPI 1790039410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · 2012037795
Definition
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.
12862 STATE ROUTE 21, De Soto, MO 63020
Open in Google Maps ↗

Other Names 1

Former Name (1)Renee Kathleen Carter O.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renee Kathleen Lane O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63020 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUE ELLEN DICKSON RPH
Pharmacist
12862 STATE ROUTE 21
DE SOTO, MO 63020
Jefferson County (636) 586-9666
DR. ASHLEY MARIE BOLTON PHARM. D.
Pharmacist
12862 STATE ROUTE 21
DE SOTO, MO 63020
Jefferson County (636) 209-3206
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
12862 STATE ROUTE 21
DE SOTO, MO 63020
Jefferson County (636) 586-9666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Lane's NPI number?

The NPI number for Renee Lane is 1790039410. It was assigned to this individual provider in the NPPES registry on November 2, 2012. The provider is also known as Renee Kathleen Carter O.D..

Where is Renee Lane located?

Renee Lane practices at 12862 State Route 21, De Soto, MO 63020. The listed phone number is (636) 586-9745.

What is Renee Lane's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Renee Lane enrolled in Medicare?

Yes. Renee Lane is registered in the Medicare PECOS enrollment system.

What insurance does Renee Lane accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Renee Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renee Lane was last updated on January 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.