Individual provider Active NPI

Jefferson Robert Langford, O.D.

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1265446751
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
554 Issued in NV
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

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00370806OtherNVRAILROAD MEDICARE
100511123MedicaidNV

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160802002160 UT Practitioner - Optometry 7618973934 Reassigns benefits to 1 organization

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
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

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

LicenseStateTypeSpecialty
554NVMDOptometrist
9848901-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Aug 25, 2016 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Aug 25, 2016 Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Rocky Mountain University of Health Professions Foundation Optometrist PastSince May 1, 2022 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.

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

Verify at the official NPI Registry.