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Organization
TODD B LANG OD PA
Active
Organization
TODD B LANG OD PA
Active
Other names
Bayside Eye Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD B LANG OD (PRESIDENT)
(941) 637-0202
Entity
Organization
Contact information
Practice address
970 KINGS HWY, PORT CHARLOTTE, FL 33980-4216
(941) 637-0202
(941) 637-0425
Mailing address
1521 KENSINGTON ST, PORT CHARLOTTE, FL 33952-2555
(941) 637-0202
(941) 637-0425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2288
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0341776
CIGNA
FL
05
—
078880500
—
FL
01
—
19062
BLUE CROSS BLUE SHIELD
FL
01
—
2307923
AETNA
FL
01
—
410031991
MEDICARE RAILROAD
FL
01
—
87726
UNITEDHEALTHCARE
FL
Enumeration date
09/29/2006
Last updated
06/10/2024
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