NATHAN LANGEMO (NPI# 1316272495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316272495 |
| Entity Type | Individual |
| Full Name | NATHAN LANGEMO |
| Credential | O.D. |
| Practice Address |
7415 Wayzata Blvd St Louis Park MN 55426-1607 |
| Practice Telephone | 9524753787 |
| Practice Fax Number | 8889590116 |
| Mailing Telephone | 9524753787 |
| Mailing Fax Number | 8889590116 |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2012-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 3304 | MN | Eye and Vision Services Providers |
| Y | 152WS0006X |
Optometrist Specialization: Sports Vision |
3304 | MN | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
3304 | MN | Eye and Vision Services Providers |
| Street Address |
7415 WAYZATA BLVD |
| City | ST LOUIS PARK |
| State | MN |
| Zip Code | 55426-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003836479 | David W Whiting | Ophthalmology | 7415 Wayzata Blvd, Suite 100, St Louis Park, MN 55426-1607 | 2006-07-20 |
| 1043760119 | The Total Vision Institute LLC | Clinic/Center | 7415 Wayzata Blvd, St Louis Park, MN 55426-1607 | 2016-10-12 |
| 1114207362 | Tranquility Dental, P.a. | Dentist | 7415 Wayzata Blvd, Ste 201, St Louis Park, MN 55426-1607 | 2011-08-19 |
| 1588731400 | Rebecca Connor | Marriage & Family Therapist | 7415 Wayzata Blvd, Suite 102, St Louis Park, MN 55426 | 2006-11-29 |
| 1780696146 | Opti-min Pa | Optometrist | 7415 Wayzata Blvd, St Louis Park, MN 55426-1607 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 152WS0006X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Sports Vision |
| 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. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| City | ST LOUIS PARK |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on NATHAN LANGEMO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.