Individual provider Active NPI

Therese Langille, O.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1164599619
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9464T Issued in CA
Practice address
529 Hayes St
San Francisco, CA 94102-4213
Phone
(415) 553-6166
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9464T CA Primary

Addresses

Primary practice location

529 Hayes St
San Francisco, CA 94102-4213

Mailing address

529 Hayes St
San Francisco, CA 94102-4213
Phone (415) 553-6166

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1164599619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024213",
            "telephone_number": "415-553-6166",
            "fax_number": "415-553-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 HAYES ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024213",
            "telephone_number": "415-553-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGILLE",
        "first_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9464T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.