M Langford OD Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

M LANGFORD OD OPTOMETRIC CORPORATION

Practice address

4310 Genesee Ave Ste 101
San Diego, CA 92117-4936

Phone

(858) 560-5181

Fax

(858) 560-1926

NPI assigned

Jun 11, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Melanie Langford, O.D.NPI 1902112477

Title

President

Phone

(317) 760-8348

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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

• Melanie Kleiser Langford, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1902112477
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew Langford, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1811202716
  Medicare reassignment Care Compare group NPD
• Gary Sneag, O.D.,F.C.O.V.D.

  • Vision Therapy Optometrist
  • San Diego, CA
  • NPI 1952394777
  Medicare reassignment Care Compare group NPD
• Lauren Jo Curosh, O.D.

  • Optometrist
  • Whiting, IN
  • NPI 1437414398
  NPD
• Danny Nguyen Vandan, O.D.

  • Optometrist
  • Centennial, CO
  • NPI 1215363643
  NPD
• Jennifer Ngai Yen Tam, O.D.

  • Vision Therapy Optometrist
  • La Mesa, CA
  • NPI 1063570992
  NPD (past)

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1801464409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 GENESEE AVE STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174936",
            "telephone_number": "858-560-5181",
            "fax_number": "858-560-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 GENESEE AVE STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174936",
            "telephone_number": "858-560-5181",
            "fax_number": "858-560-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M LANGFORD OD OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-760-8348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "14061",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://drgarysneag.eyefinityehr.com/",
            "affiliation": "N",
            "endpointDescription": "electronic medical records",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "electronic medical records direct messaging",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "medical records messaging",
            "address_1": "4310 Genesee Ave Ste 101",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921174936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.