Provider Demographics
NPI:1265415715
Name:LANGHETEE, HENRY P (OD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:P
Last Name:LANGHETEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3308 TURNBERRY LN
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-7481
Mailing Address - Country:US
Mailing Address - Phone:504-495-6726
Mailing Address - Fax:504-304-2082
Practice Address - Street 1:3501 HOLIDAY DR
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-8202
Practice Address - Country:US
Practice Address - Phone:504-368-7081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1294-448T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1129402Medicaid
LA1129402Medicaid
LAU92294Medicare UPIN