Bryn Leslee Langenderfer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003010 Issued in VA

Practice address

422 Oriana Rd
Newport News, VA 23608-3733

Phone

(757) 875-0675

Fax

(757) 875-0695

NPI assigned

May 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kopan Eyecare LLCGroup PAC ID 7719328228, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kopan Eyecare LLC

  • Optometrist
  • Toledo, OH
  • NPI 1861252900
  Medicare reassignment Care Compare group NPD
• Doctors Kime Kopan Associates

  • Optometrist
  • Toledo, OH
  • NPI 1881752095
  NPD

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1639743412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 ORIANA RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083733",
            "telephone_number": "757-875-0675",
            "fax_number": "757-875-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGENDERFER",
        "first_name": "BRYN",
        "middle_name": "LESLEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Lane, DO
• Jennifer Cherry Lane, OD
• Laquona Lane
• Daniel Curtis Langdon, MD
• Michelle Lange, PSY.D.
• Shenika Nicole Langley
• Sherita Lanier
• Vicki Mooza Lanier, LPC
• Jacob Lantry, M.D.
• Karma Marie Lapacek, P.T.

• Optometrist in Newport News, VA
• Providers in Newport News, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.