Provider Demographics
NPI:1710241583
Name:LANT, JEFFREY JAMES (OD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:JAMES
Last Name:LANT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:9979 WINGHAVEN BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-3628
Mailing Address - Country:US
Mailing Address - Phone:636-695-8555
Mailing Address - Fax:636-695-8555
Practice Address - Street 1:2681 HIGHWAY K
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-7865
Practice Address - Country:US
Practice Address - Phone:636-978-5555
Practice Address - Fax:636-978-5555
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2012019131152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist