MEDICARE: DR. HENRY P LANGHETEE O.D.

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	152W00000X	Optometrist	1294-448T	LA

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	:	1265415715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HENRY P LANGHETEE O.D.

Provider Business Mailing Address
First Line	:	3308 TURNBERRY LN
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70058-7481
Country	:	US
Telephone Number	:	504-495-6726
Fax Number	:	504-304-2082

Provider Business Practice Location Address
First Line	:	3501 HOLIDAY DR
Second Line	:	SUITE 201
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-8202
Country	:	US
Telephone Number	:	504-368-7081
Fax Number	:

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

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	04/03/2008

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