Individual provider Active NPI

Gretchen L Langkawel

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1306941612
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SA95TA668 Issued in AL
Practice address
7402 Highway 69 S
Suite I
Tuscaloosa, AL 35405-1300
Phone
(205) 752-0320
Fax
(205) 752-0993
NPI assigned
Sep 13, 2006
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SA95TA668 AL Primary

Addresses

Primary practice location

7402 Highway 69 S
Suite I
Tuscaloosa, AL 35405-1300

Mailing address

7402 Highway 69 South
Suite I
Tuscaloosa, AL 35405
Phone (205) 752-0320

Other identifiers 1

IdentifierTypeStateIssuer
051526297MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20041207001301 AL Practitioner - Optometry 0941266365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7402 Hwy 69 S
Suite I
Tuscaloosa, AL 35405
Phone (205) 752-0320

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA95TA668ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Eyecare Optometrist CurrentSince Jan 7, 2009 Accepting new patients
Greene County Eye Clinic, LLC Optometrist Past Accepting new patients
Robert G Carden Optometrist Past Accepting new patients

Locations

7402 Highway 69 S
Ste I
Tuscaloosa, AL 35405
Phone (205) 752-0320

Organizations & group practices 3

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1306941612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 HIGHWAY 69 SOUTH",
            "address_2": "SUITE I",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35405",
            "telephone_number": "205-752-0320",
            "fax_number": "205-752-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 HIGHWAY 69 S",
            "address_2": "SUITE I",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354051300",
            "telephone_number": "205-752-0320",
            "fax_number": "205-752-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGKAWEL",
        "first_name": "GRETCHEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SA95TA668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051526297",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.