Joshua J Lange, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004248 Issued in MI

Practice address

45075 W Pontiac TRL
Novi, MI 48377-1257

Phone

(248) 960-5600

Fax

(248) 960-8049

NPI assigned

Oct 12, 2006

Last updated

Nov 7, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Lange Vision Care P.L.L.C.

  dba Clearview Eyecare

  • Optometrist
  • Novi, MI
  • NPI 1588263537
  Medicare reassignment NPD Authorized official
• Marston Optometry, P.C.

  • Optometrist
  • Livonia, MI
  • NPI 1154469633
  NPD (past)
• SFC Vision, PLLC

  dba Marston Optometry

  • Optometrist
  • Livonia, MI
  • NPI 1306267513
  NPD (past)
• Wce, LLC

  dba CoOp Optical

  • Optometrist
  • Detroit, MI
  • NPI 1376613653
  NPD (past)
• Wce, LLC

  dba Coop Optical

  • Durable Medical Equipment & Medical Supplies
  • Livonia, MI
  • NPI 1952455727
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1891884524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45075 W PONTIAC TRL",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771257",
            "telephone_number": "313-366-5100",
            "fax_number": "313-366-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45075 W PONTIAC TRL",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483771257",
            "telephone_number": "248-960-5600",
            "fax_number": "248-960-8049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "JOSHUA",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4637018",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Lane
• Serafina Lane
• Sherika Lang
• Lange Vision Care P.L.L.C. (Clearview Eyecare)
• Dana Lange
• Tina Lange
• Therese Anne Langenkamp, LPC
• Michael Langford
• Kindra Langley
• Kristine Langley, PT

• Optometrist in Novi, MI
• Providers in Novi, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2020; 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.