Individual provider Active NPI

Edward Langlow, MD

  • Ophthalmology Physician
  • Mandeville, LA
National Provider Identifier
1407853401
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
023141 Issued in LA
Practice address
804 Heavens Dr
Suite 102
Mandeville, LA 70471-2890
Phone
(985) 792-1141
NPI assigned
Jul 5, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 023141 LA Primary

Addresses

Primary practice location

804 Heavens Dr
Suite 102
Mandeville, LA 70471-2890

Mailing address

79 Trace Loop
Mandeville, LA 70448-7566

Other identifiers 1

IdentifierTypeStateIssuer
1491691MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050809000133 LA Practitioner - Ophthalmology 8426087719 Reassigns benefits to 3 organizations
I20110815000353 MS Practitioner - Ophthalmology 8426087719 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Mississippi School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiger Vision, L.L.C.Group PAC ID 0840292850, 10 clinicians
Northshore Eye Associates LLCGroup PAC ID 4385687128, 5 clinicians
Southern Vision Center Gulfport LLCGroup PAC ID 1153859558, 4 clinicians
Tri County Eye Clinic, PLLCGroup PAC ID 9830104819, 4 clinicians

Practice addresses (Care Compare)

10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone (225) 923-0960

17170 S I 12 Service Rd
Hammond, LA 70403-2408
Phone (985) 375-1111

351 Cowan Rd
Gulfport, MS 39507-2019
Phone (228) 896-1120

431 Bertucci Blvd
Biloxi, MS 39531-2255
Phone (228) 385-2020

67186 Industry LN
Suite a
Covington, LA 70433-8708
Phone (985) 871-2220

Hospital & facility affiliations

  • Avala Hospital, Covington, LA, CCN 190267

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023141LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Eye Associates LLC Ophthalmology CurrentSince Feb 17, 2010 Accepting new patients
Southern Vision Center Gulfport LLC Ophthalmology CurrentSince Dec 20, 2024 Accepting new patients
Hogan Surgical Center PA CurrentSince Aug 18, 2011 Accepting new patients
Hogan Eye Clinic, P. a. Ophthalmology CurrentSince Aug 18, 2011 Accepting new patients
Tri County Eye Clinic, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Tri County Eye Clinic, PLLC Ophthalmology CurrentSince Nov 1, 2025 Accepting new patients
Popps Ferry Out-Patient Surgery Center, LLC Past Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Past Accepting new patients

Locations

17170 S I 12 Service Rd
Hammond, LA 70403
Phone (985) 375-1111

431 Bertucci Blvd
Biloxi, MS 39531
Phone (228) 385-2020

351 Cowan Rd
Gulfport, MS 39507
Phone (228) 896-1120

Interoperability endpoints

  • Direct secure messaging: elanglow@northshoreeye.intellechartdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407853401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 TRACE LOOP",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487566"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLOW",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "023141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.