Organization Active NPI

Lang Family Eye Care LLC

  • Optometrist
  • New Berlin, WI
National Provider Identifier
1902143092
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3268-35 Issued in WI
Legal business name
LANG FAMILY EYE CARE LLC
Practice address
15855 W National Ave
Suite 101
New Berlin, WI 53151-5159
Phone
(262) 923-7073
NPI assigned
Jan 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Dr. Ryan Lang, O.D.NPI 1881957561
Title
Optometrist
Phone
(262) 923-7073

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 3268-35 WI Primary

Addresses

Primary practice location

15855 W National Ave
Suite 101
New Berlin, WI 53151-5159

Mailing address

15855 W National Ave
Suite 101
New Berlin, WI 53151-5159
Phone (262) 923-7073

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130403000642 WI Part B Supplier - Clinic/Group Practice 2769627207 Receives reassigned benefits from 2 practitioners
Practice locations: New Berlin, WI

National Provider Directory

National Provider Directory

Locations

15855 W National Ave
New Berlin, WI 53151

15855 W National Ave
Ste 101
New Berlin, WI 53151
Phone (262) 923-7073

Practitioners & affiliated clinicians

Practitioners 2

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": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1902143092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15855 W NATIONAL AVE",
            "address_2": "SUITE 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": "SUITE 101",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515159",
            "telephone_number": "262-923-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANG FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "262-923-7073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3268-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.