Provider Demographics
NPI:1447060884
Name:LANIER, CASEY (OD)
Entity type:Individual
Prefix:DR
First Name:CASEY
Middle Name:
Last Name:LANIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1517 SE 11TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4662
Mailing Address - Country:US
Mailing Address - Phone:352-239-0128
Mailing Address - Fax:
Practice Address - Street 1:2637 E GULF TO LAKE HWY # B1
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34453-3216
Practice Address - Country:US
Practice Address - Phone:352-239-0128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC6596152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist