Individual provider Active NPI

Laura Lang, O.D.

  • Optometrist
  • New Berlin, WI
National Provider Identifier
1023354610
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3267-35 Issued in WI
Practice address
15855 W National Ave
Ste 101
New Berlin, WI 53151
Phone
(262) 923-7073
NPI assigned
Dec 31, 2012
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3267-35 WI Primary

Addresses

Primary practice location

15855 W National Ave
Ste 101
New Berlin, WI 53151

Mailing address

15855 W National Ave
Ste 101
New Berlin, WI 53151-5159
Phone (262) 923-7073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130404000060 WI Practitioner - Optometry 2365687811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lang Family Eye Care LLCGroup PAC ID 2769627207, 2 clinicians

Practice addresses (Care Compare)

15855 W National Ave
Suite 101
New Berlin, WI 53151-5159
Phone (262) 923-7073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3267-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lang Family Eye Care LLC Optometrist CurrentSince Mar 1, 2013 Accepting new patients

Locations

15855 W National Ave
New Berlin, WI 53151

15855 W National Ave
Ste 101
New Berlin, WI 53151
Phone (262) 923-7073

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1023354610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15855 W NATIONAL AVE",
            "address_2": "STE 101",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515159",
            "telephone_number": "262-923-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 W NATIONAL AVE",
            "address_2": "STE 101",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "53151",
            "telephone_number": "262-923-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3267-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.