Individual provider Active NPI

Karina Victoria Langle, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1982802658
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009964 Issued in IL
Practice address
3402 W 111TH St
Chicago, IL 60655-3339
Phone
(773) 941-6519
Fax
(708) 229-2233
NPI assigned
Jul 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009964 IL Primary

Addresses

Primary practice location

3402 W 111TH St
Chicago, IL 60655-3339

Mailing address

3402 W 111TH St
Chicago, IL 60655-3339
Phone (773) 941-6519

Other identifiers 1

IdentifierTypeStateIssuer
046009964MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20070914000397 IL Practitioner - Optometry 3870687304 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois College of Optometry 77 clinicians
Dr Karina V Langle PC 2 clinicians

Practice addresses (Care Compare)

3241 S Michigan Ave
Chicago, IL 60616-3878
Phone (312) 949-7751

3402 W 111TH St
Chicago, IL 60655-3339
Phone (773) 941-6519

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Karina V. Langle PC Optometrist CurrentSince Nov 1, 2016 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Mar 20, 2017 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist CurrentSince Mar 20, 2017 Accepting new patients

Locations

5408 N Clark St
Chicago, IL 60640
Phone (773) 275-2020

3402 W 111th St
Chicago, IL 60655
Phone (773) 941-6519

1000 E Ogden Ave
Naperville, IL 60563
Phone (630) 355-9010

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: karina.langle.iei@direct.ico.nextgenshare.com

Organizations & group practices 5

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": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1982802658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553339",
            "telephone_number": "773-941-6519",
            "fax_number": "773-941-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606553339",
            "telephone_number": "773-941-6519",
            "fax_number": "708-229-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLE",
        "first_name": "KARINA",
        "middle_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-04",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009964",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.