Organization Active NPI

Edward P. Langlow MD Apmc

  • Ophthalmology Physician
  • Mandeville, LA
National Provider Identifier
1295957488
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EDWARD P. LANGLOW MD APMC
Practice address
804 Heavens Dr
Suite 102
Mandeville, LA 70471-2890
Phone
(985) 792-1141
Fax
(985) 792-1171
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward P Langlow, MDNPI 1407853401
Title
President
Phone
(985) 792-1141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

804 Heavens Dr
Suite 102
Mandeville, LA 70471-2890

Mailing address

804 Heavens Dr
Suite 102
Mandeville, LA 70471-2890
Phone (985) 792-1141

Other names 1

  • Lake Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050808000173 LA Part B Supplier - Clinic/Group Practice 2163451451 Receives reassigned benefits from 1 practitioner
Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295957488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HEAVENS DR",
            "address_2": "SUITE 102",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712890",
            "telephone_number": "985-792-1141",
            "fax_number": "985-792-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HEAVENS DR",
            "address_2": "SUITE 102",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712890",
            "telephone_number": "985-792-1141",
            "fax_number": "985-792-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD P. LANGLOW MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANGLOW",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-792-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.