Provider Demographics
NPI:1801051164
Name:LANGER, SARA RUTH (OD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:RUTH
Last Name:LANGER
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:11200 MENCHACA RD STE 2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78748-2747
Mailing Address - Country:US
Mailing Address - Phone:512-965-5544
Mailing Address - Fax:512-596-5545
Practice Address - Street 1:11200 MENCHACA RD STE 2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-2747
Practice Address - Country:US
Practice Address - Phone:512-596-5544
Practice Address - Fax:512-596-5545
Is Sole Proprietor?:No
Enumeration Date:2008-07-25
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX7217TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82279QOtherBLUE CROSS AND BLUE SHIELD OF TEXAS
TX8L5099Medicare PIN