Individual provider Active NPI

Michael Vanlangeveld, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1174645139
Registry record updated Dec 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
401 Issued in HI
Practice address
1200 Ala Moana Blvd Ste 255
Honolulu, HI 96814-5208
Phone
(808) 591-6601
Fax
(808) 591-0137
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10263 CA
Optometrist 152W00000X 401 HI Primary
Optometrist 152W00000X 0618001551 VA

Addresses

Primary practice location

1200 Ala Moana Blvd Ste 255
Honolulu, HI 96814-5208

Mailing address

1200 Ala Moana Blvd Ste 255
Honolulu, HI 96814-5208
Phone (808) 591-6601

Other identifiers 1

IdentifierTypeStateIssuer
573396MedicaidHI

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

State licenses

LicenseStateTypeSpecialty
401HIMDOptometrist
0618001551VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michael Vanlangeveld and Associates Optometrist PastSince Oct 11, 2011 Accepting new patients

Organizations & group practices 1

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1174645139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ALA MOANA BLVD STE 255",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968145208",
            "telephone_number": "808-591-6601",
            "fax_number": "808-591-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ALA MOANA BLVD STE 255",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968145208",
            "telephone_number": "808-591-6601",
            "fax_number": "808-591-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLANGEVELD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10263",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "401",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "573396",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; 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.