Lang, Todd Brentley

Lang, Todd Brentley is an sole proprietor health care provider with primary practice located at 314 N Tamiami Trl Suite 112, Punta Gorda FL 33950-4839. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Lang, Todd Brentley can be contacted via phone (941) 637-0202.

Contact Information

Primary practice address
314 N Tamiami Trl Suite 112 Punta Gorda FL 33950-4839
Phone: (941) 637-0202
Fax: (941) 637-0425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 2288 Florida

Profile Details

NPI number 1952336794
LBN Legal business name Lang, Todd Brentley
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Feb 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952336794 NPPES
Florida Other 410031991 MEDICARE RAILROAD
Florida Other 0341776 MEDICARE RAILROAD
Florida MEDICAID 078880500 MEDICARE RAILROAD
Florida Other 19062 MEDICARE RAILROAD
Florida Other 2307923 MEDICARE RAILROAD
Florida Other 87726 MEDICARE RAILROAD

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