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Individual
DR. TODD BRENTLEY LANG
Active
Individual
DR. TODD BRENTLEY LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1141
TN
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
07/11/2006
Last updated
01/31/2025
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