MEDICARE: KATHERINE LAMBETH OPTOMETRY TECHNICIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1202X	Optometric Technician

General Provider Information

NPI Number	:	1861956823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE LAMBETH OPTOMETRY TECHNICIAN

Provider Business Mailing Address
First Line	:	LYSTER ARMY HEALTH CLINIC
Second Line	:	BLDG 301 ANDREWS AVE
City	:	FORT RUCKER
State	:	AL
Zip	:	36362-5333
Country	:	US
Telephone Number	:	334-255-7189
Fax Number	:

Provider Business Practice Location Address
First Line	:	LYSTER ARMY HEALTH CLINIC
Second Line	:	BLDG 301 ANDREWS AVE
City	:	FORT RUCKER
State	:	AL
Zip	:	36362-5333
Country	:	US
Telephone Number	:	334-255-7189
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2019
Last Update Date	:	01/24/2019

Similar Medicare Providers

1225412026 — AMANDA TAYLOR OPTOMETRY TECH
Practice Location Address:

BLDG 301 ANDREWS AVENUE , LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
36362-5333

Practice Phone: 334-255-7185
Practice Fax:

1720449473 — DANIELLE VAN WINKLE OPTOMETRY TECH
Practice Location Address:

BLDG 301 ANDREWS AVE , LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
36362-5333

Practice Phone: 334-255-7185
Practice Fax:

1356871206 — SHANDY DANIELLE HOEFFER HEALTH TECHNICIAN
Practice Location Address:

BUILDING 301 ANDREWS AVE. , LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
36362-5333

Practice Phone: 334-255-7185
Practice Fax:

1174001861 — ERIC RHODES II OPHTHALMIC TECH
Practice Location Address:

LYSTER ARMY HEALTH CINIC , BLDG 301 ANDREWS AVE
FORT RUCKER, AL
36362-5333

Practice Phone: 334-255-7185
Practice Fax:

1275169088 — MAHALIA LEONTINE GOODMAN EYE SPECIALIST
Practice Location Address:

301 ANDREWS AVE
FORT RUCKER, AL
36362

Practice Phone: 800-261-7193
Practice Fax: 334-255-7710

1700192937 — MISS JENNIFER LYNN DEGON ABOC
Practice Location Address:

126 MISSOURI AVE
FORT LEONARD WOOD, MO
65473-8952

Practice Phone: 573-596-0048
Practice Fax: 573-596-0716

Directions to “ KATHERINE LAMBETH OPTOMETRY TECHNICIAN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.