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DAVID J. LANE, LTD.
NPI 1821158833
Audiologist in Mount Vernon, IL

Active since December 11, 2006
4117 S WATER TOWER PL, SUITE C, MOUNT VERNON, IL 62864(618) 242-0672(618) 242-0862 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About David J. Lane, Ltd. NPPES

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

DAVID J. LANE, LTD. (NPI 1821158833) is a healthcare organization registered as an audiologist in Mount Vernon, Illinois and active in the NPI registry since December 2006. The organization lists David Joseph Lane, Audiologist, as its authorized official.

NPPES Registry Identity

NPI1821158833
Entity TypeOrganization
Primary Taxonomy231H00000X
Legal Business NameDAVID J. LANE, LTD.
Location Address4117 S WATER TOWER PL, SUITE CMount Vernon, IL 62864-6293
Mailing Address4117 S Water Tower Pl, Suite CMount Vernon, IL 62864-6293 · (618) 242-0672 · Fax (618) 242-0862
Phone(618) 242-0672
Fax(618) 242-0862
Organization SubpartNo
Authorized OfficialDavid Joseph LaneAudiologist · (618) 242-0672
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 30, 2010
✔ NPI 1821158833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in IL · 147000854
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
4117 S WATER TOWER PL, Mount Vernon, IL 62864
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Other Identifiers 2

Other83222520IL · Blue Cross Blue Shield
Medicaid354668512001IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David J. Lane, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to David J. Lane, Ltd., which bills Medicare for the services this clinician delivers.

Clinician (1)

David Lane, AU.D., CCC-A
Qualified Audiologist
NPI 1164472155
4117 S WATER TOWER PL SUITE C
Mount Vernon, IL 62864
(618) 242-0672
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 David J. Lane, Ltd.'s NPI number?

The NPI number for David J. Lane, Ltd. is 1821158833. It was assigned to this organization in the NPPES registry on December 11, 2006.

Where is David J. Lane, Ltd. located?

David J. Lane, Ltd. is located at 4117 S Water Tower Pl Suite C, Mount Vernon, IL 62864. The listed phone number is (618) 242-0672.

What is David J. Lane, Ltd.'s specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is David J. Lane, Ltd. enrolled in Medicare?

Yes. David J. Lane, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through David J. Lane, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Qualified Audiologist) reassigns their Medicare billing to David J. Lane, Ltd.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for David J. Lane, Ltd. was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.