MISS MISTY LANE OD
NPI 1790271211
Optometrist in Princeton, WV

Q: What is Misty Lane's NPI number?

The NPI number for Misty Lane is 1790271211. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Q: What is Misty Lane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misty Lane was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since July 09, 2018PECOS Enrolled

324 OAKVALE RD STE 100, PRINCETON, WV 24740(304) 425-2444(304) 425-2446 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Miss Misty Lane Od NPPES

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

MISS MISTY LANE OD (NPI 1790271211) is an individual optometrist in Princeton, West Virginia, licensed in West Virginia (2048-IOD) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790271211

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMISS MISTY LANECredential: OD

Location Address324 OAKVALE RD STE 100Princeton, WV 24740-3829

Mailing Address324 Oakvale Rd Ste 100Princeton, WV 24740-3829 · (304) 425-2444 · Fax (304) 425-2446

Phone(304) 425-2444

Fax(304) 425-2446

Sole ProprietorNo

Enumeration DateJuly 9, 2018

✔ NPI 1790271211 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 WV · 2048-IOD

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.

324 OAKVALE RD STE 100, Princeton, WV 24740

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Misty Lane Od 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 24740 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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 4

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

JOSIAH BOLYARD OD

Optometrist

324 OAKVALE RD STE 100
PRINCETON, WV 24740

Mercer County (304) 425-2444

DR. CHRISTOPHER NORMAN PIERCE HANSEN O.D.

Optometrist

324 OAKVALE RD STE 100
PRINCETON, WV 24740

Mercer County (304) 425-2444

AMANDA PUTOREK OD

Optometrist

324 OAKVALE RD STE 100
PRINCETON, WV 24740

Mercer County (304) 425-2444

MCKENZIE VANDYKE BRIGHT OD

Optometrist

324 OAKVALE RD STE 100
PRINCETON, WV 24740

Mercer County (304) 425-2444

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 Misty Lane's NPI number?

The NPI number for Misty Lane is 1790271211. It was assigned to this individual provider in the NPPES registry on July 9, 2018.

Where is Misty Lane located?

Misty Lane practices at 324 Oakvale Rd Ste 100, Princeton, WV 24740. The listed phone number is (304) 425-2444.

What is Misty Lane's specialty?

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

Is Misty Lane enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Misty Lane was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.