John R Lang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

904 W North Ave
Melrose Park, IL 60160-1520

Phone

(708) 343-6767

Fax

(708) 343-9012

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Illinois College of Optometry at Chicago, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Melrose Park Eye Care LLCGroup PAC ID 6709315518, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Melrose Park Eye Care LLC

  • Optometrist
  • Melrose Park, IL
  • NPI 1073334595
  Medicare reassignment Care Compare group NPD
• Thaddeus, LTD

  • Optometrist
  • Chicago, IL
  • NPI 1831120005
  Medicare reassignment NPD
• Wilma, LTD

  • Optometrist
  • Melrose Park, IL
  • NPI 1831120088
  Medicare reassignment NPD
• Six Corners Eye Care LLC

  • Optometrist
  • Chicago, IL
  • NPI 1629899141
  NPD

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194480000000",
    "number": "1225022783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 LORRAINE AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 W NORTH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601520",
            "telephone_number": "708-343-6767",
            "fax_number": "708-343-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2007-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teneshia Kuykendoll, BA
• Jenny Kwon
• Michelle Lagrimas, B.A.
• Santosh Lal, MD
• Stephanie Lamonica, PHARMD
• Laura E Loya-Frank M D S C
• Laura M Cozzi, M.D., P.C.
• Amy Laverty, LCPC
• Erika Lazaro
• Miracle Leach, MSW

• Optometrist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.