Provider Demographics
NPI:1922248608
Name:WILLIAM H LANGFIELD JR.
Entity Type:Organization
Organization Name:WILLIAM H LANGFIELD JR.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:LANGFIELD
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:508-676-8167
Mailing Address - Street 1:598 COUNTY ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MA
Mailing Address - Zip Code:02726-4204
Mailing Address - Country:US
Mailing Address - Phone:508-676-8167
Mailing Address - Fax:508-676-1434
Practice Address - Street 1:598 COUNTY ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:MA
Practice Address - Zip Code:02726-4204
Practice Address - Country:US
Practice Address - Phone:508-676-8167
Practice Address - Fax:508-676-1434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2876152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
79024OtherBLUE CROSS RI
MA15227OtherHARVARD PILGRIM
MA0344214Medicaid
MA2201002OtherUNITED HEALTH
MAW15566OtherBLUE CROSS MA
400875OtherBLUE CHIP
79024OtherBLUE CROSS RI
MAW15566OtherBLUE CROSS MA
MA15227OtherHARVARD PILGRIM