PETER LANGENFELD OD PC (NPI# 1649451204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649451204 |
| Entity Type | Organization |
| Organization Name | PETER LANGENFELD OD PC |
| Other Organization Name | PETER LANGENFELD OD |
| Practice Address |
5405 E Granite St Dmafb Bx Bldg 2527 Tucson AZ 85707-3004 |
| Practice Telephone | 5205142029 |
| Practice Fax Number | 5207900275 |
| Mailing Telephone | 5205142029 |
| Mailing Fax Number | 5207900275 |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | PETER LANGENFELD (PROPRIETOR) |
| Authorized Official Telephone | 5205142029 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1200 | AZ | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS | 0905970 | 01 |
| MEDICARE ID | 105289 | 01 |
| Other Name | Type Code |
|---|---|
| Peter Langenfeld OD | Former Legal Business Name - Organization |
| Street Address |
5405 E GRANITE ST DMAFB BX BLDG 2527 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85707-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699032771 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 5405 E Granite St, Bldg. 2527, Tucson, AZ 85707-3004 | 2012-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699128850 | Megan Dehaven | Specialist/Technologist | 5455 E Comanche St, Tucson, AZ 85707 | 2016-07-22 |
| 1780927954 | Ryan N Taylor | Physician Assistant | 400, 4175 S Alamo Ave, Davis-monthan Afb, AZ 85707 | 2013-04-05 |
| 1154658839 | Alisha A Marchetti | Physician Assistant | 4175 S. Alamo Avenue, 355th Mdg/mdos, Davis-monthan Afb, AZ 85707 | 2009-11-17 |
| 1851529192 | Christopher Thomas Yarbrough | Military Health Care Provider | 4625 South Phoenix Street Bldg 4843, Tucson, AZ 85707 | 2009-06-25 |
| 1144457045 | Denise Fabian | Psychiatry & Neurology | 5427 E. Madera Street, Davis Monthan Afb, AZ 85707 | 2009-06-17 |
| 1942437447 | Emerson M Earle | Military Health Care Provider | 4625 S. Phoenix St, Bld 4843, Tucson, AZ 85707 | 2009-06-11 |
| 1164657136 | Raul Romero | Military Health Care Provider | 4575 S. Phoenix St. 563rd Oss, Dmafb, AZ 85707 | 2009-05-20 |
| 1063647196 | Virginia E. Bailey | Military Health Care Provider | 4837 S Phoenix St., Rm 119 Davis-monthan Air Force Base, Tucson, AZ 85707 | 2009-05-19 |
| 1043417611 | Jacob Riis | Orthopaedic Surgery | 355 Mdg, 4175 South Alamo Ave, Tucson, AZ 85707 | 2007-06-28 |
| 1508989732 | Christopher E. Dunham | Physician Assistant | 4175 S. Alamo Ave Bldg 400, 355th Medical Group-davis Monthan Afb, Tucson, AZ 85707 | 2007-04-10 |
| Find all providers in zip 85707 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275143034 | Kelly Hart | Optometrist | 7111 N Oracle Rd, Tucson, AZ 85704-4331 | 2020-08-06 |
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1043868912 | Rizwan Jamil | Optometrist | 5860 W Arizona Pavilions Dr Ste 102, Tucson, AZ 85743-7364 | 2019-09-03 |
| 1679126536 | Katelyn Hurliman | Optometrist | 1370 N Silverbell Rd Ste 140, Tucson, AZ 85745-2290 | 2019-07-19 |
| 1134783392 | Stephanie Hilde | Optometrist | 7041 E Tanque Verde Rd, Tucson, AZ 85715-5311 | 2019-04-23 |
| 1174186746 | Nationwide Optometry PC | Optometrist | 9160 S Houghton Rd Ste 140, Tucson, AZ 85747-9736 | 2019-04-18 |
| 1932762861 | Mahdi Hedayat | Optometrist | 1785 W Valencia Rd Unit 101, Tucson, AZ 85746-6511 | 2019-04-16 |
| 1497237408 | Ryan James Dugan | Optometrist | 3601 S 6th Ave Bldg 80, Tucson, AZ 85723-0001 | 2018-09-06 |
| 1194214890 | Joseph Kowalski | Optometrist | 4631 N Oracle Rd Ste 175, Tucson, AZ 85705-1785 | 2018-05-08 |
| 1316453053 | David William Shurtz | Optometrist | 6572 E Grant Rd, Tucson, AZ 85715-3810 | 2017-12-18 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.