Peter Langenfeld OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1200 Issued in AZ

Legal business name

PETER LANGENFELD OD PC

Practice address

5405 E Granite St
Dmafb BX BLDG 2527
Tucson, AZ 85707-3004

Phone

(520) 514-2029

Fax

(520) 790-0275

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Peter Langenfeld, OD

Title

Proprietor

Phone

(520) 514-2029

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Peter Langenfeld OD Former legal business name

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1649451204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 E GRANITE ST",
            "address_2": "DMAFB BX BLDG 2527",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857073004",
            "telephone_number": "520-514-2029",
            "fax_number": "520-790-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 E GRANITE ST",
            "address_2": "DMAFB BX BLDG 2527",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857073004",
            "telephone_number": "520-514-2029",
            "fax_number": "520-790-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER LANGENFELD OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "LANGENFELD",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "520-514-2029",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "105289",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0905970",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter Langenfeld OD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Beata Joanna Perzydlo, FNP
• Dan Pesicka, RPH
• Joy B Peskin, MD
• Tyler Pesqueira, PHARMD
• Peter Klinger MD LLC
• Peter R. Bodnar, M.D. PLLC
• Clinton Peter, PHARMD
• Carol L Peters, NP-C
• Christian Kline Peters, D.O.
• Eric C. Peters, M.D.

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.