Individual provider Active NPI

Matthew Langford, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1811202716
Registry record updated May 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14030 Issued in CA
Practice address
3750 Sports Arena Blvd
Suite 9
San Diego, CA 92110-5129
Phone
(619) 224-2879
Fax
(619) 224-1311
NPI assigned
Aug 16, 2010
Last updated
May 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14030 CA Primary

Addresses

Primary practice location

3750 Sports Arena Blvd
Suite 9
San Diego, CA 92110-5129

Mailing address

3629 3Rd Ave
#6
San Diego, CA 92103-4157
Phone (209) 761-9288

Other identifiers 2

IdentifierTypeStateIssuer
1811202716OtherCANPI
FK524ZOtherCAP-TAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20110713000454 CA Practitioner - Optometry 0446428627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Langford OD Optometric CorporationGroup PAC ID 9931599974, 3 clinicians

Practice addresses (Care Compare)

4310 Genesee Ave
Suite 101
San Diego, CA 92117-4936
Phone (858) 560-5181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Apr 22, 2019 Accepting new patients
M Langford OD Optometric Corporation Optometrist CurrentSince Oct 15, 2021 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

3750 Sports Arena Blvd
Ste 9
San Diego, CA 92110
Phone (619) 224-2879

4310 Genesee Ave
Ste 101
San Diego, CA 92117
Phone (619) 560-5181

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1811202716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 3RD AVE",
            "address_2": "#6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034157",
            "telephone_number": "209-761-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 SPORTS ARENA BLVD",
            "address_2": "SUITE 9",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105129",
            "telephone_number": "619-224-2879",
            "fax_number": "619-224-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "MATTHEW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-16",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811202716",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P-TAN",
            "identifier": "FK524Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.