NPIMap

Organization Active NPI

Andy Langston, OD, PA

  • Optometrist
  • Holiday Island, AR
National Provider Identifier
1659558609
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2430 Issued in AR
Legal business name
ANDY LANGSTON, OD, PA
Practice address
No 1 Park Dr Ste B
Holiday Island, AR 72631-9221
Phone
(479) 253-4040
Fax
(479) 253-5636
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Andy L Langston, PH D, OD
Title
President
Phone
(479) 253-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2430 AR Primary

Addresses

Primary practice location

No 1 Park Dr Ste B
Holiday Island, AR 72631-9221

Mailing address

No 1 Park Dr Ste B
Holiday Island, AR 72631-9221
Phone (479) 253-4040

National Provider Directory

National Provider Directory

Locations

1 Park Dr
Ste B
Holiday Island, AR 72631
Phone (479) 253-1871

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1659558609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NO 1 PARK DR STE B",
            "city": "HOLIDAY ISLAND",
            "state": "AR",
            "postal_code": "726319221",
            "telephone_number": "479-253-4040",
            "fax_number": "479-253-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NO 1 PARK DR STE B",
            "city": "HOLIDAY ISLAND",
            "state": "AR",
            "postal_code": "726319221",
            "telephone_number": "479-253-4040",
            "fax_number": "479-253-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDY LANGSTON, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "LANGSTON",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-253-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D, OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday Island, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.