John E Lange, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1293TX Issued in WA

Practice address

321 N Sequim Ave # a
Sequim, WA 98382-3457

Phone

(360) 683-7269

Fax

(360) 683-7499

NPI assigned

Aug 19, 2005

Last updated

Dec 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1659363281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2020",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983822020",
            "telephone_number": "360-683-7269",
            "fax_number": "360-683-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N SEQUIM AVE # A",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823457",
            "telephone_number": "360-683-7269",
            "fax_number": "360-683-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "JOHN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1293TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066306",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jiae Kwon, D.D.S.
• Dalis L Lagrotta
• Elizabeth Carol Anne Lahren, LMHC
• Rochelle-Rae M Lamont, LMT
• Rachelle Marie Lande, PTA
• David Christian Larrymore, M.D.
• Lavender Vision PLLC (Lavender Vision)
• Andrew W Lazos, PA-C
• Michael H Lazzari
• Deborah Dee Lee, PTA

• Optometrist in Sequim, WA
• Providers in Sequim, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.