Provider Demographics
NPI:1497726855
Name:YOUMANS, L LAMAR (OD)
Entity Type:Individual
Prefix:DR
First Name:L
Middle Name:LAMAR
Last Name:YOUMANS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LABELLE
Mailing Address - State:FL
Mailing Address - Zip Code:33935-7000
Mailing Address - Country:US
Mailing Address - Phone:863-675-0761
Mailing Address - Fax:863-675-3518
Practice Address - Street 1:100 N MAIN ST
Practice Address - Street 2:
Practice Address - City:LABELLE
Practice Address - State:FL
Practice Address - Zip Code:33935-7000
Practice Address - Country:US
Practice Address - Phone:863-675-0761
Practice Address - Fax:863-675-3518
Is Sole Proprietor?:No
Enumeration Date:2006-02-01
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2571152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20327OtherBCBS
OPC2571OtherCOMMERCIAL INSURANCE
410024666OtherRAILROAD MEDICARE
OPC2571OtherTRICARE
FL078821000Medicaid
OPC2571OtherCIGNA
OPC2571OtherUNITED HEALTHCARE
FL20327OtherBCBS
FL20327ZMedicare ID - Type Unspecified
FL0569010001Medicare NSC