Individual provider Active NPI

Stephanie Ashley Lang, O.D.

  • Optometrist
  • Bradford, PA
National Provider Identifier
1841586260
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002465 Issued in PA
Practice address
109 Boylston St
Bradford, PA 16701-2013
Phone
(814) 368-3937
Fax
(814) 368-4728
NPI assigned
Jun 23, 2011
Last updated
Apr 30, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002465 PA Primary

Addresses

Primary practice location

109 Boylston St
Bradford, PA 16701-2013

Mailing address

109 Boylston St
Bradford, PA 16701-2013
Phone (814) 368-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20221104001270 NY Practitioner - Optometry 5597911651 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kenneth G Vandine MDPCGroup PAC ID 5698865996, 4 clinicians
Allegany Ophthalmology PLLCGroup PAC ID 8628223732, 6 clinicians

Practice addresses (Care Compare)

130 S Union St
Suite 8
Olean, NY 14760-9807
Phone (716) 372-8642

168 N Union St
Olean, NY 14760-2735
Phone (716) 372-9464

Merit-based Incentive Payment System (MIPS)

Final score
74.73 of 100Reported as group
Quality
87.75
Improvement activities
40
Cost
29.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009665NYMDClinical Psychologist
OEG002465PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allegany Associates LLC CurrentSince Nov 12, 2023 Accepting new patients
Allegany Ophthalmology PLLC Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Allegany Ophthalmology PLLC Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Kenneth G Vandine MDPC CurrentSince Sep 6, 2022 Accepting new patients
Simon Eye Associates PA Optometrist PastSince Jul 1, 2006 Accepting new patients

Locations

130 S Union St
Ste 8
Olean, NY 14760
Phone (716) 372-8642

168 N Union St
Olean, NY 14760
Phone (716) 372-9464

12 Martin St
Wellsville, NY 14895
Phone (585) 593-4250

Interoperability endpoints

  • Direct secure messaging: stephanielang@alleganyeye.medentdirect.com

Organizations & group practices 5

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1841586260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BOYLSTON ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012013",
            "telephone_number": "814-368-3937",
            "fax_number": "814-368-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BOYLSTON ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012013",
            "telephone_number": "814-368-3937",
            "fax_number": "814-368-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "STEPHANIE",
        "middle_name": "ASHLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.