Individual provider Active NPI

Jason James Langford, OD

  • Optometrist
  • Grand Island, NE
National Provider Identifier
1043296114
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1109 Issued in NE
Practice address
420 N Diers Ave
Grand Island, NE 68803-4979
Phone
(308) 384-0220
Fax
(308) 382-1650
NPI assigned
Dec 20, 2005
Last updated
Oct 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1109 NE Primary

Addresses

Primary practice location

420 N Diers Ave
Grand Island, NE 68803-4979

Mailing address

PO Box 5076
Grand Island, NE 68802-5076
Phone (308) 384-0220

Other identifiers 2

IdentifierTypeStateIssuer
36397OtherBCBS
10368OtherMIDLANDS CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100622000100 NE Practitioner - Optometry 8820129760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Island Optical PCGroup PAC ID 5799752150, 6 clinicians

Practice addresses (Care Compare)

420 N Diers Ave
Grand Island, NE 68803-4979
Phone (308) 384-0220

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1109NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy a Dob, OD, PC Optometrist Past Accepting new patients
Iiii, PC Optometrist Past Accepting new patients
Nancy a Dob, OD,PC Optometrist Past Accepting new patients
Andrea N Steele-Baumann OD LLC Optometrist Past Accepting new patients

Networks

  • IA HMO C-SNP
  • CO HMO
  • devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
  • CO HMO D-SNP
  • IA HMO
  • CO HMO C-SNP

Organizations & group practices 5

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1043296114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5076",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025076",
            "telephone_number": "308-384-0220",
            "fax_number": "308-382-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688034979",
            "telephone_number": "308-384-0220",
            "fax_number": "308-382-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "JASON",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36397",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "10368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.