MEDICARE: LANGE EYE CARE & ASSOCIATES PA

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	OP2631	FL

General Provider Information

NPI Number	:	1639182561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LANGE EYE CARE & ASSOCIATES PA

Provider Business Mailing Address
First Line	:	3101 SW COLLEGE RD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34474-8459
Country	:	US
Telephone Number	:	352-237-1566
Fax Number	:	352-237-0561

Provider Business Practice Location Address
First Line	:	11834 COUNTY ROAD 101
Second Line	:
City	:	THE VILLAGES
State	:	FL
Zip	:	32162-9340
Country	:	US
Telephone Number	:	352-753-4014
Fax Number	:	844-272-7134

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL LANGE
Credential	:	OD
Telephone Number	:	352-753-4014

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	03/12/2024

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Directions to “LANGE EYE CARE & ASSOCIATES PA ” Practice Location

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