Individual provider Active NPI

Peter Langenfeld OD, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1083670616
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1200 Issued in AZ
Practice address
2465 S Craycroft Rd
Tucson, AZ 85711-6629
Phone
(520) 748-2020
Fax
(520) 747-3405
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AZ1200 AZ
Optometrist 152W00000X 1200 AZ Primary

Addresses

Primary practice location

2465 S Craycroft Rd
Tucson, AZ 85711-6629

Mailing address

2465 S Craycroft Rd
Tucson, AZ 85711-6629
Phone (520) 748-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050920000534 AZ Practitioner - Optometry 2769416775 Reassigns benefits to 1 organization
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

7475 E Tanque Verde Rd
Tucson, AZ 85715-3477
Phone (520) 663-5393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ1200AZMDOptometrist
1200AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John H McDougall OD Arizona PC Optometrist CurrentSince Aug 9, 2023 Accepting new patients
Optometric Consulting Services, Inc Optometrist Past Accepting new patients
Yuma Vision Center, Inc Optometrist Past Accepting new patients

Locations

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000

7125 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 296-4157

7475 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 663-5373

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1083670616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 S CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857116629",
            "telephone_number": "520-748-2020",
            "fax_number": "520-747-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 S CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857116629",
            "telephone_number": "520-748-2020",
            "fax_number": "520-747-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGENFELD OD",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ1200",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.