Individual
JEFFERSON ROBERT LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2110 E FLAMINGO RD, SUITE 210, LAS VEGAS, NV 89119-5190
(702) 733-2020
(702) 794-2797
Mailing address
2110 E FLAMINGO RD, SUITE 210, LAS VEGAS, NV 89119-5190
(702) 733-2020
(702) 794-2797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
554
NV
152W00000X
Optometrist
9848901-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511123
—
NV
01
—
P00370806
RAILROAD MEDICARE
NV
Enumeration date
07/28/2006
Last updated
06/29/2016
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