Individual provider Active NPI

Melanie Kleiser Langford, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1902112477
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 14061 TLG Issued in CA
Practice address
4310 Genesee Ave
Ste. 101
San Diego, CA 92117-4970
Phone
(858) 560-5181
NPI assigned
Aug 23, 2010
Last updated
Mar 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 14061 TLG CA Primary

Addresses

Primary practice location

4310 Genesee Ave
Ste. 101
San Diego, CA 92117-4970

Mailing address

4310 Genesee Ave
Ste. 101
San Diego, CA 92117-4970
Phone (858) 560-5181

Other names 1

  • Dr. Melanie Joanne Kleiser Former name

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
I20120718000499 CA Practitioner - Optometry 3173789229 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

State licenses

LicenseStateTypeSpecialty
OPT 14061 TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Jun 16, 2012 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro,Inc CurrentSince Jun 16, 2012 Accepting new patients
M Langford OD Optometric Corporation Optometrist CurrentSince Oct 1, 2021 Accepting new patients

Locations

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

865 Third Ave
Ste 133
Chula Vista, CA 91911
Phone (619) 428-1330

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

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

4004 Beyer Blvd
San Ysidro, CA 92173
Phone (619) 428-1330

Organizations & group practices 4

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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1902112477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 GENESEE AVE",
            "address_2": "STE. 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174970",
            "telephone_number": "858-560-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 GENESEE AVE",
            "address_2": "STE. 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174970",
            "telephone_number": "858-560-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGFORD",
        "first_name": "MELANIE",
        "middle_name": "KLEISER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 14061 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "KLEISER",
            "middle_name": "JOANNE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.