Individual provider Active NPI

Drew Jordan Langton, OD

  • Optometrist
  • Clawson, MI
National Provider Identifier
1912493453
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005144 Issued in MI
Practice address
329 W 14 Mile Rd
Clawson, MI 48017-1926
Phone
(248) 435-3400
NPI assigned
Jul 9, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901005144 MI Primary

Addresses

Primary practice location

329 W 14 Mile Rd
Clawson, MI 48017-1926

Mailing address

1112 Bishop Rd
Grosse Pointe Park, MI 48230-1423
Phone (313) 418-9850

Other practice location 1

250 E 14 Mile Rd
Clawson, MI 48017-2135
Phone (248) 435-3400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180912001568 MI Practitioner - Optometry 7719237759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
House of Optical IncGroup PAC ID 9931201704, 4 clinicians
Royal Oak Optical PLLCGroup PAC ID 0547627036, 2 clinicians

Practice addresses (Care Compare)

1282 Walton Blvd
Rochester
Rochester, MI 48307-6900
Phone (248) 650-2255

250 E 14 Mile Rd
Clawson, MI 48017-2135
Phone (248) 435-3400

32756 Woodward Ave
Royal Oak, MI 48073-0953
Phone (248) 549-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005144MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pointe Vision Care PC Optometrist CurrentSince Apr 25, 2019 Accepting new patients
Royal Oak Optical PLLC Optometrist CurrentSince Jan 7, 2023 Accepting new patients
Fashion Eyeglass Inc. Optometrist PastSince Jan 7, 2023 Accepting new patients

Locations

20525 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-3249

32756 Woodward Ave
Royal Oak, MI 48073
Phone (248) 549-3937

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1912493453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 BISHOP RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301423",
            "telephone_number": "313-418-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 W 14 MILE RD",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "480171926",
            "telephone_number": "248-435-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clawson",
            "state": "MI",
            "postal_code": "480172135",
            "country_code": "US",
            "telephone_number": "248-435-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGTON",
        "first_name": "DREW",
        "middle_name": "JORDAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clawson, MI

Sources for this page

Verify at the official NPI Registry.