Individual provider Active NPI

Michael P Lange, OD

  • Optometrist
  • Ocala, FL
National Provider Identifier
1295748291
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2631 Issued in FL
Practice address
3101 SW College Rd
Ocala, FL 34474-8459
Phone
(352) 237-3768
Fax
(352) 237-4595
NPI assigned
Aug 14, 2006
Last updated
May 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP2631 FL Primary

Addresses

Primary practice location

3101 SW College Rd
Ocala, FL 34474-8459

Mailing address

3101 SW College Rd
Ocala, FL 34474-8459
Phone (352) 237-3768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110211000704 FL Practitioner - Optometry 2466359807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lange Eye Care and Associates PAGroup PAC ID 2163329590, 3 clinicians

Practice addresses (Care Compare)

11834 County Rd
Suite 101
The Villages, FL 32162-9340
Phone (352) 753-4014

Merit-based Incentive Payment System (MIPS)

Final score
80.91 of 100Reported as group
Quality
61.81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1104LAMDSchool Psychologist
OP2631FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lange Eye Care & Associates PA Optometrist CurrentSince Jul 28, 2000 Accepting new patients

Locations

3968 SW Archer Rd
#W101
Gainesville, FL 32608
Phone (352) 376-6622

3101 SW College Rd
Ocala, FL 34474
Phone (352) 237-3768

11834 County Road 101
The Villages, FL 32162
Phone (352) 753-4014

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1295748291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SW COLLEGE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344748459",
            "telephone_number": "352-237-3768",
            "fax_number": "352-237-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SW COLLEGE RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344748459",
            "telephone_number": "352-237-3768",
            "fax_number": "352-237-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.