Active NPI
Jefferson Robert Langford, O.D.
- Optometrist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 554
- Practice address
- 2110 E Flamingo Rd
Suite 210
Las Vegas, NV 89119-5190 - Phone
- (702) 733-2020
- Fax
- (702) 794-2797
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 554 | NV | Primary |
| Optometrist | 152W00000X | 9848901-9934 | UT |
Addresses
Primary practice location
2110 E Flamingo Rd
Suite 210
Las Vegas, NV 89119-5190
Mailing address
2110 E Flamingo Rd
Suite 210
Las Vegas, NV 89119-5190
Phone (702) 733-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00370806 | Other | NV | RAILROAD MEDICARE |
| 100511123 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3723 W 12600
Suite 430
Riverton, UT 84065-7310
Phone (801) 285-4200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 554 | NV | MD | Optometrist |
| 9848901-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients | |
| Rocky Mountain University of Health Professions Foundation | Optometrist | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
3723 W 12600 S
Ste 430
Riverton, UT 84065
Phone (801) 285-4200
3723 W 12600 S
Ste 420
Riverton, UT 84065
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.
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Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1265446751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 E FLAMINGO RD",
"address_2": "SUITE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195190",
"telephone_number": "702-733-2020",
"fax_number": "702-794-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 E FLAMINGO RD",
"address_2": "SUITE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891195190",
"telephone_number": "702-733-2020",
"fax_number": "702-794-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGFORD",
"first_name": "JEFFERSON",
"middle_name": "ROBERT",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "554",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "9848901-9934",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00370806",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100511123",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.