Organization Active NPI

Langevin Eye Center P.a.

  • Optometrist
  • Mountain Home, AR
National Provider Identifier
1871931006
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2264 Issued in AR
Legal business name
LANGEVIN EYE CENTER P.A.
Practice address
65 Wal Mart Dr
Suite 8
Mountain Home, AR 72653-6784
Phone
(870) 492-2208
Fax
(870) 492-7099
NPI assigned
Jun 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Dr. Michael Andrew Langevin, O.D.NPI 1740400472
Title
Owner
Phone
(870) 492-2136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2264 AR Primary

Addresses

Primary practice location

65 Wal Mart Dr
Suite 8
Mountain Home, AR 72653-6784

Mailing address

65 Wal Mart Dr
Suite 8
Mountain Home, AR 72653-6784
Phone (870) 492-2136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024000459 AR Part B Supplier - Clinic/Group Practice 3072748284 Receives reassigned benefits from 1 practitioner
Practice locations: Mountain Home, AR

National Provider Directory

National Provider Directory

Locations

65 Wal Mart Dr
Ste 8
Mountain Home, AR 72653
Phone (870) 492-2136

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": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1871931006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WAL MART DR",
            "address_2": "SUITE 8",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536784",
            "telephone_number": "870-492-2136",
            "fax_number": "870-492-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WAL MART DR",
            "address_2": "SUITE 8",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536784",
            "telephone_number": "870-492-2208",
            "fax_number": "870-492-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANGEVIN EYE CENTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "LANGEVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-492-2136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.