Active NPI
Joel L. Langham, R.D.O.
- Optician
- Danville, KY
National Provider Identifier
1073666053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- KY-1292
- Practice address
- 905 Hustonville Rd
Suite 1
Danville, KY 40422-2160 - Phone
- (859) 238-9448
- NPI assigned
- Jan 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | KY-1292 | KY | Primary |
Addresses
Primary practice location
905 Hustonville Rd
Suite 1
Danville, KY 40422-2160
Mailing address
PO Box 551
Burgin, KY 40310-0551
Phone (859) 247-0855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-1292 | KY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073666053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551",
"city": "BURGIN",
"state": "KY",
"postal_code": "403100551",
"telephone_number": "859-247-0855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 HUSTONVILLE RD",
"address_2": "SUITE 1",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222160",
"telephone_number": "859-238-9448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGHAM",
"first_name": "JOEL",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "R.D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "KY",
"license": "KY-1292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.