MEDICARE: LANG X BELL OPTICIAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	1101002394	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043240740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANG X BELL OPTICIAN

Provider Business Mailing Address
First Line	:	6041 INDIAN RIVER ROAD
Second Line	:	LANG OPTICAL
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3803
Country	:	US
Telephone Number	:	757-424-2030
Fax Number	:	757-424-2030

Provider Business Practice Location Address
First Line	:	6041 INDIAN RIVER RD
Second Line	:	LANG OPTICAL
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-3803
Country	:	US
Telephone Number	:	757-424-2030
Fax Number	:	757-424-2030

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	11/10/2008

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Directions to “ LANG X BELL OPTICIAN” Practice Location

Language	Start Address	Practice Location

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