Organization
PETER LANGENFELD OD PC
Active
Other names
Peter Langenfeld OD
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LANGENFELD OD (PROPRIETOR)
(520) 514-2029
Entity
Organization
Contact information
Practice address
5405 E GRANITE ST, DMAFB BX BLDG 2527, TUCSON, AZ 85707-3004
(520) 514-2029
(520) 790-0275
Mailing address
5405 E GRANITE ST, DMAFB BX BLDG 2527, TUCSON, AZ 85707-3004
(520) 514-2029
(520) 790-0275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1200
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0905970
BCBS
AZ
01
—
105289
MEDICARE ID
—
Enumeration date
11/23/2007
Last updated
11/26/2007
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