Individual
DR. COREY MICHAEL LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14607 W CENTER RD, OMAHA, NE 68144-3219
(402) 330-3000
(402) 330-2160
Mailing address
14607 W CENTER RD, OMAHA, NE 68144-3219
(402) 330-3000
(402) 330-2160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1180
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10024996900
—
NE
01
—
1180
NEBR LICENSE
NE
01
—
5183070001
REGION D DMERC
NE
01
—
P00121874
RAILROAD MEDICARE
—
Enumeration date
05/12/2006
Last updated
01/25/2011
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