NPI Code Details Logo

NPI 1225652019

NPI 1225652019 : ERICA MARIE LANG OD : WESTMINSTER, CO

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1225652019
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ERICA MARIE LANG OD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/08/2020
-----------------------------------------------------
    Last Update Date     |    02/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    14584 ORCHARD PKWY UNIT 300 
-----------------------------------------------------
    City                 |    WESTMINSTER
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80023-9247
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    303-917-9842
-----------------------------------------------------
    Fax                  |    888-915-0851
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    505 LIPAN ST UNIT 522 
-----------------------------------------------------
    City                 |    DENVER
-----------------------------------------------------
    State                |    CO
-----------------------------------------------------
    Zip                  |    80204-4943
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    859-628-3739
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    OPC005792
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    OPT0004070
-----------------------------------------------------
    License Number State |    CO
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.