Individual
MICHAEL J LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
29 N CHENANGO ST, GREENE, NY 13778-1139
(607) 656-4485
(607) 656-4648
Mailing address
29 N CHENANGO ST, GREENE, NY 13778-1139
(607) 656-4485
(607) 656-4648
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
UT4149
NY
174400000X
Specialist
T89592
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00728258
—
NY
Enumeration date
10/05/2006
Last updated
09/11/2025
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