Individual provider Active NPI

Annalisa C Fernando-Langit, O.D.

  • Optometrist
  • Cerritos, CA
National Provider Identifier
1124183843
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13013TPL Issued in CA
Practice address
11420 South Street
Cerritos, CA 90703
Phone
(562) 860-1339
Fax
(562) 860-1339
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13013T CA
Optometrist 152W00000X 13013TPL CA Primary

Addresses

Primary practice location

11420 South Street
Cerritos, CA 90703

Mailing address

9073 Cobblestone Lane
Cypress, CA 90630
Phone (619) 316-1978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070525000252 CA Practitioner - Optometry 5193822138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11420 S St
Cerritos, CA 90703-6611
Phone (562) 860-1339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13013TCAMDOptometrist
13013TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cerritos 2020 Optometry a Proffesional Optometric Corporatio Optometrist CurrentSince Aug 27, 2010 Accepting new patients
Paje Optometric a Professional Corporation Optometrist PastSince Jul 30, 2014 Accepting new patients
Hilton Manor, LLC Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

11420 South St
Cerritos, CA 90703
Phone (562) 860-1339

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1124183843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9073 COBBLESTONE LANE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "619-316-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 SOUTH STREET",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "90703",
            "telephone_number": "562-860-1339",
            "fax_number": "562-860-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDO-LANGIT",
        "first_name": "ANNALISA",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13013T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13013TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.