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NATHAN LANGEMO O.D. NPI 1316272495


NPI Information

NPI: 1316272495
Provider Name: NATHAN LANGEMO, O.D.
Classification: Optometrist - 152WS0006X
Entity Type: Individual

Specialization: Sports Vision

Organization: EXCELSIOR EYECARE PLLC

PECOS Registration: Yes

Address:
7415 WAYZATA BLVD
ST LOUIS PARK, MN
ZIP 55426
Phone: (952) 475-3787
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Nathan Langemo, O.D. is a sports vision optometrist in St Louis Park, MN with 12 years of experience. The provider is an optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport. Nathan Langemo, O.D. NPI is 1316272495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year:2012

The provider's business location address is:

7415 WAYZATA BLVD
ST LOUIS PARK, MN
ZIP 55426-607
Phone: (952) 475-3787
Fax: (888) 959-0116

The NPI 1316272495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)

The enumeration date for this NPI number is 10/7/2009 and was last updated on 8/20/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist3304MINNESOTANo
2152WV0400XOptometristVision Therapy3304MINNESOTANo
3152WS0006XOptometristSports Vision3304MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.