Jefferson Robert Langford, O.D.
Optometrist in Las Vegas, NV. Individual provider (NPI-1).
NPI number1265446751
StatusActive
Last updated in NPPESJun 29, 2016
Details
- NPI
- 1265446751
- Entity type
- Individual (NPI-1)
- Name
- Jefferson Robert Langford
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2006
- Last updated
- Jun 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 554 | NV | Yes |
| 152W00000X | Optometrist | 9848901-9934 | UT |
Practice location
2110 E Flamingo RdSuite 210
Las Vegas, NV 89119-5190
Phone 702-733-2020 · Fax 702-794-2797
Mailing address
2110 E Flamingo RdSuite 210
Las Vegas, NV 89119-5190
Phone 702-733-2020 · Fax 702-794-2797
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