Provider Demographics
NPI:1639621188
Name:DR. KARINA V. LANGLE PC
Entity Type:Organization
Organization Name:DR. KARINA V. LANGLE PC
Other - Org Name:LUNETTES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARINA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:LANGLE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:708-945-9530
Mailing Address - Street 1:3402 W 111TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-3339
Mailing Address - Country:US
Mailing Address - Phone:773-941-6519
Mailing Address - Fax:773-941-6539
Practice Address - Street 1:3402 W 111TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60655-3339
Practice Address - Country:US
Practice Address - Phone:773-941-6519
Practice Address - Fax:773-941-6539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046009964152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty