Ryan Robert Lang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3268-35 Issued in WI

Practice address

15855 W National Ave
Ste 101
New Berlin, WI 53151

Phone

(262) 923-7073

NPI assigned

Jun 19, 2012

Last updated

Jun 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lang Family Eye Care LLCGroup PAC ID 2769627207, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lang Family Eye Care LLC

  • Optometrist
  • New Berlin, WI
  • NPI 1902143092
  Medicare reassignment Care Compare group NPD Authorized official
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Shorewood, WI
  • NPI 1154699445
  NPD (past)
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD (past)

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1881957561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15855 W NATIONAL AVE",
            "address_2": "STE 101",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515159",
            "telephone_number": "262-923-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 W NATIONAL AVE",
            "address_2": "STE 101",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "53151",
            "telephone_number": "262-923-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "RYAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3268-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeshore Medical Clinic, LLC
• Stacey M Lampone, FNP-BC
• Theresa M Landowski, RN
• Lang Family Eye Care LLC
• Laura Lang, O.D.
• Laura L Lange, OTR
• Heidi A Larosa, PT
• Margaret Hope Latendresse
• David Lautz, M.D.
• Janet Marilyn Lawrence, P.T.

• Optometrist in New Berlin, WI
• Providers in New Berlin, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.