Maisha Langella, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AT13587 Issued in OR

Practice address

1226 NE 7TH St
Grants Pass, OR 97526-1424

Phone

(541) 476-6636

NPI assigned

Apr 19, 2011

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Optometry

Education

Southern California College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maisha Optical LLCGroup PAC ID 8628433091, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maisha.langella.eyecaregroupso@jhie.net

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.

• Maisha Optical LLC

  dba Advanced Vision Wellness Center

  • Optometrist
  • Medford, OR
  • NPI 1013603380
  Medicare reassignment Care Compare group NPD Authorized official
• Cascade Eyecare Center PC

  • Ophthalmology Physician
  • Grants Pass, OR
  • NPI 1295758696
  Medicare reassignment NPD
• Eye Care Group of Southern Oregon, LLC

  dba Eye Care Group

  • Optometrist
  • Grants Pass, OR
  • NPI 1306988787
  Medicare reassignment NPD
• Starchvick Optical Inc

  dba Advanced Vision Wellness Center

  • Corneal and Contact Management Optometrist
  • Medford, OR
  • NPI 1134281355
  NPD

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

{
    "created_epoch": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1104116532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261424",
            "telephone_number": "541-476-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 NE 7TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261424",
            "telephone_number": "541-476-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGELLA",
        "first_name": "MAISHA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-19",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "662",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "AT13587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desarae Margaret Lane
• Jake L Laney
• Shelly Laney
• Craig Evan Lang
• Deborah J Lang, LAC
• Patti Lanham, RN
• Angelina Lara, RN, FNP
• Kendra Renee Laratta, PTA
• Stephen Lard, CHW
• Jennifer Larson, PHARMD

• Optometrist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.